Individual provider Active NPI

Frank J Aguirre, MD

  • Specialist
  • Elizabeth, NJ
National Provider Identifier
1144344672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05485300 Issued in NJ
Practice address
830 Park Ave
Elizabeth, NJ 07208-1265
Phone
(908) 558-7366
Fax
(908) 354-4987
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05485300 NJ Primary

Addresses

Primary practice location

830 Park Ave
Elizabeth, NJ 07208-1265

Mailing address

830 Park Ave
Elizabeth, NJ 07208-1265
Phone (908) 558-7366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000293 NJ Practitioner - Diagnostic Radiology 3476583394 Practice locations: Newark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

195 Lafayette St
Newark, NJ 07105-1864
Phone (973) 465-3044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144344672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081265",
            "telephone_number": "908-558-7366",
            "fax_number": "908-354-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081265",
            "telephone_number": "908-558-7366",
            "fax_number": "908-354-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05485300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.