Jonathan R Fugo (NPI# 1407056534, PAC ID# 4284806654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1407056534 |
| PAC ID by PECOS | 4284806654 |
| Professional Enrollment ID | I20111006000439 |
| Full Name | Jonathan R Fugo |
| Address |
92 Old Route 9w 100 New Windsor NY 12553-5485 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2002 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 969 Main St, Suite D, Fishkill, NY 12524-1791 | 8458967730 | HUDSON DERMATOLOGY, PC |
| 40 Hurley Ave, Suite 3, Kingston, NY 12401-3738 | 8453383200 | HUDSON DERMATOLOGY, PC |
| 92 Old Route 9w 100, New Windsor, NY 12553-5485 |
| Street Address |
92 OLD ROUTE 9W 100 |
| City | NEW WINDSOR |
| State | NY |
| Zip | 12553-5485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahavir Singh | Internal Medicine | 3074 9w, Suite 100, New Windsor, NY 12553-3074 | |
| Samuel E Book | Dermatology | 575 Hudson Valley Ave, Suite 205, New Windsor, NY 12553-4746 | |
| Andrew Shapiro | Podiatry | Hudson Valley Health Group, LLP | 575 Hudson Valley Ave, Suite 100, New Windsor, NY 12553-4746 |
| Leila Boukhris | Internal Medicine | Hudson Valley Health Group, LLP | 575 Hudson Valley Ave, Suite 100, New Windsor, NY 12553-4746 |
| Kisha Marie Howard-schramm | Nurse Practitioner | New Windsor Family Medicine Pllc | 575 Hudson Valley Ave, Suite 201, New Windsor, NY 12553-4746 |
| John Charles Reed | Family Medicine | New Windsor Family Medicine Pllc | 575 Hudson Valley Ave, Suite 201, New Windsor, NY 12553-4746 |
| Jennifer L Titchnell | Physician Assistant | New Windsor Family Medicine Pllc | 575 Hudson Valley Ave, Suite 201, New Windsor, NY 12553-4746 |
| Javier A Ruiz | Hematology/oncology | Hudson Valley Health Group, LLP | 575 Hudson Valley Ave, Suite 100, New Windsor, NY 12553-4746 |
| Michael B Putter | Anesthesiology | Horizon Medical Group PC | 88 Old Route 9w, New Windsor, NY 12553-5485 |
| Cheryl A Barker | Clinical Social Worker | 84 Old Route 9w, Suite 200, New Windsor, NY 12553-5485 | |
| Find all physicians in zip 12553 | |||
| City | NEW WINDSOR |
| Zip Code | 12553 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | NEW WINDSOR + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Jonathan R Fugo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.