Rodolfo De Lossantos Ongjoco Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9500170 Issued in NC

Practice address

180 Perry Dr
Southern Pines, NC 28387-7020

Phone

(910) 246-0567

Fax

(910) 246-0669

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rodolfo S. Ongjoco Jr. Other name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Behavioral Care

  • Clinical Psychologist
  • Rockingham, NC
  • NPI 1245391036
  NPD (past)
• Carolina Behavioral Care, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1932821303
  NPD (past)
• Liberty Psychiatric Associates, PC

  • Psychiatry Physician
  • Pinehurst, NC
  • NPI 1639993090
  NPD (past)
• Rodolfo de Los Santos Ongjoco, Jr., MD, PA

  • Psychiatry Physician
  • Southern Pines, NC
  • NPI 1891939419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1083696603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877020",
            "telephone_number": "910-246-0567",
            "fax_number": "910-246-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877020",
            "telephone_number": "910-246-0567",
            "fax_number": "910-246-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGJOCO",
        "first_name": "RODOLFO",
        "middle_name": "DE LOSSANTOS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9500170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89764208",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODOLFO",
            "last_name": "ONGJOCO",
            "middle_name": "S.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Carolina CVS Pharmacy LLC (CVS Pharmacy #17903)
• Nourished Roots Therapy Services
• Ashlynn Odom
• Oettinger and Associates, PLLC
• Olsen & Olsen PLLC (Olsen Orthodontics)
• Heather Ontiveros
• Ostert Physical Therapy
• Christina Ostovich, LCMHCA, NCC
• Edward David Owsiany, MSW
• Natalie Michelle Pacheco- Garcia

• Psychiatry Physician in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.