Individual provider Active NPI

Robert J Dugo, D.C.

  • Chiropractor
  • Freehold, NJ
National Provider Identifier
1134449465
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30MC00684400 Issued in NJ
Practice address
42 E Main St
Suite 203
Freehold, NJ 07728-2295
Phone
(732) 409-1401
Fax
(732) 409-1403
NPI assigned
Jun 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30MC00684400 NJ Primary

Addresses

Primary practice location

42 E Main St
Suite 203
Freehold, NJ 07728-2295

Mailing address

42 E Main St
Suite 203
Freehold, NJ 07728-2295
Phone (732) 409-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30MC00684400NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1134449465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "address_2": "SUITE 203",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282295",
            "telephone_number": "732-409-1401",
            "fax_number": "732-409-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "address_2": "SUITE 203",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282295",
            "telephone_number": "732-409-1401",
            "fax_number": "732-409-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "30MC00684400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.