DR. JONATHAN ROBIN FUGO (NPI# 1407056534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407056534 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ROBIN FUGO |
| Credential | D.O. |
| Practice Address |
21 Laurel Ave Suite 240 Cornwall NY 12518-1469 |
| Mailing Address |
92 Old Route 9w Suite 100 New Windsor NY 12553-5485 |
| Practice Telephone | 8452377040 |
| Practice Fax Number | 8452377060 |
| Mailing Telephone | 8455657040 |
| Mailing Fax Number | 8455657060 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 260705 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03372070 | 05 |
| Street Address |
21 LAUREL AVE SUITE 240 |
| City | CORNWALL |
| State | NY |
| Zip Code | 12518-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339141 | Michael Salem Wahban Sayegh | Ophthalmology | 21 Laurel Ave, Suite 2020, Cornwall, NY 12518-1469 | 2006-05-03 |
| 1760874614 | Elena Julia Morales | Counselor | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2015-03-02 |
| 1497099493 | Lore S Hannes | Psychologist | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2012-11-15 |
| 1386905461 | Amanda Lee Dixon | Counselor | 21 Laurel Ave, Cornwall, NY 12518-1469 | 2012-06-05 |
| 1609141688 | Scott Newkirk | Psychologist | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2012-03-09 |
| 1316210008 | Aviva Tova Bashkowitz | Social Worker | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2012-02-11 |
| 1508143124 | Advanced Podiatry Associates of The Hudson Valley LLP | Podiatrist | 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1469 | 2011-11-10 |
| 1518245984 | Lisa Marie Cardona | Counselor | 21 Laurel Ave, Cornwall, NY 12518-1469 | 2011-08-02 |
| 1184914475 | Erin Kramer Poole | Social Worker | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2011-04-08 |
| 1851618540 | The Nitesurgeon Pllc | Surgery | 21 Laurel Ave, Suite 240, Cornwall, NY 12518-1469 | 2010-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883697 | Rose Ema Francine Dubreus Pierre | Registered Nurse | 40 Firth Street, Cornwall, NY 12518 | 2020-05-23 |
| 1255847406 | Casey Marianne Undersinger | Occupational Therapist | 340 Hudson Street, Cornwall, NY 12518 | 2017-12-26 |
| 1629287107 | Clifford James Russ | Dentist | 41 Ridge Road, Cornwall, NY 12518 | 2007-05-22 |
| 1740687474 | Carolann Frances Furchi | Psychologist | 186 Main Street, Cornwall, NY 12518 | 2014-11-24 |
| 1952661274 | Kirti Joseph | Student in an Organized Health Care Education/Training Program | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2012-05-21 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1134233497 | Prestige Physicians Services, Pllc | Family Medicine | 164 Willow Ave, Cornwall, NY 12518 | 2006-08-17 |
| 1417967514 | Nicholas George Bambino | Internal Medicine | 10 Elm St, Cornwall, NY 12518 | 2006-08-09 |
| 1306098447 | Roberta Ann Lewis | Speech-Language Pathologist | 398 Angola Rd, Cornwall, NY 12518-1002 | 2008-10-21 |
| 1083866164 | Melanie F Paquin | Community Health Worker | 18 Clarkwood Dr, Cornwall, NY 12518-1009 | 2008-10-21 |
| Find all providers in zip 12518 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
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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.