JOSE FRAGOSO MD (NPI# 1346452166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346452166 |
| Entity Type | Organization |
| Organization Name | JOSE FRAGOSO MD |
| Practice Address |
4808 Bergenline Ave Union City NJ 07087-5172 |
| Practice Telephone | 7322813590 |
| Practice Fax Number | 7322810054 |
| Mailing Telephone | 7322813590 |
| Mailing Fax Number | 7322810054 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSE FRAGOSO (DOCTOR) |
| Authorized Official Telephone | 7322813590 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MAO43589 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2062208 | 05 |
| Street Address |
4808 BERGENLINE AVE |
| City | UNION CITY |
| State | NJ |
| Zip Code | 07087-5172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497624 | Jose R Fragoso | Pediatrics | 4808 Bergenline Ave, 5th Floor, Union City, NJ 07087-5172 | 2006-02-20 |
| 1619236874 | Elham Nasab | Podiatrist | 4808 Bergenline Ave, Ste 202, Union City, NJ 07087-5162 | 2012-05-09 |
| 1508182072 | Premier Psychiatric Consultants | Clinic/Center | 4808 Bergenline Ave, Union City, NJ 07087-5172 | 2010-04-08 |
| 1013076256 | Debenedictis & Testa, Dpm, Pa | Podiatrist | 4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5162 | 2006-12-06 |
| 1013985951 | Jack Testa | Podiatrist | 4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5172 | 2006-03-08 |
| 1104894054 | Margaret Portela | Podiatrist | 4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5172 | 2006-03-08 |
| 1194792366 | Thomas Henry Debenedictis | Podiatrist | 4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5172 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1457985491 | Everas Community Services, Inc. | Day Training, Developmentally Disabled Services | 4216 John F. Kennedy Blvd., Union City, NJ 07087 | 2020-02-28 |
| 1699269902 | Amit Amin | Dentist | 3700 John Fitzgerald Kennedy Blvd, Union City, NJ 07087 | 2018-06-20 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225547862 | Coxphit LLC | Respite Care | 809 22nd Street, Unit 506, Union City, NJ 07087 | 2017-09-27 |
| 1811415433 | Umaila Iqbal | Physical Therapist | 416 Bay Ridge Parkway, Brooklyn, NY 07087 | 2017-09-04 |
| 1952853962 | Curren M Whitfield | Social Worker | 400 38th St Ste 222, Union City, NJ 07087 | 2016-10-26 |
| 1811340854 | Karen Samaniego | Social Worker | 2201 Bergenline Avenue Union City, Nj, Union City, NEW JERSEY 07087 | 2016-07-14 |
| 1881053072 | Carmen Laura Alejandro-valle | Acupuncturist | 727a 25th Street Apt B2, Union City, NJ 07087 | 2016-02-16 |
| 1295190536 | Jiten Dungarani | Physical Therapist | 500 Central Ave Apt 501, Union City, NJ 07087 | 2015-12-30 |
| Find all providers in zip 07087 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1871836189 | Marisa Mendes | Pediatrics | 3196 Jfk Boulevard, Union City, NJ 07087 | 2013-04-04 |
| 1275844516 | Wilson Eduardo Delgado | Pediatrics | 4201 New York Ave, Union City, NJ 07087-4929 | 2010-07-01 |
| 1023181468 | Tomas Jose Barrios | Pediatrics | 311 33rd St, Union City, NJ 07087-4701 | 2006-11-15 |
| 1518073337 | Kevin Joseph Mcdonough | Pediatrics | 511 22nd St, Union City, NJ 07087-3500 | 2006-08-22 |
| 1376594770 | Yvonne L Smith | Pediatrics | 4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, GA 30291-2085 | 2006-05-12 |
| 1831156306 | Yvonne L. Smith Md PC | Pediatrics | 4910 Jonesboro Road, Union City, GA 30291-2085 | 2006-04-28 |
| 1487129680 | Advocare, LLC | Pediatrics | 3196 Kennedy Blvd Ste 3, Union City, NJ 07087-2468 | 2018-10-04 |
| 1265951917 | Kayla Yates | Pediatrics | 1345 Edwards St, Union City, TN 38261-5814 | 2017-09-13 |
| 1639557598 | Phillip Thomas Knight | Pediatrics | 3196 Kennedy Blvd, Union City, NJ 07087 | 2015-05-12 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 07087 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.