Nelo Dimaculangan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA069509 Issued in NJ

Practice address

4 Highland Ave
Jersey City, NJ 07306-4510

Phone

(201) 434-3997

Fax

(201) 434-3304

NPI assigned

Jan 24, 2006

Last updated

Jan 31, 2017By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342
  Medicare reassignment NPD
• Old Bergen Pediatrics PA

  • Pediatrics Physician
  • Jersey City, NJ
  • NPI 1053541599
  NPD
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)
• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1164492971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIGHLAND AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064510",
            "telephone_number": "201-434-3997",
            "fax_number": "201-434-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIGHLAND AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064510",
            "telephone_number": "201-434-3997",
            "fax_number": "201-434-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMACULANGAN",
        "first_name": "NELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA069509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA069509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amarilis Katya Diez Presilla
• Differx Pharmacy LLC
• Daina Difo, FNP-BC
• Linsee G Dillon, MS, CCC-SLP
• Christine Dimaculangan, PHARMD
• Direct Meds of Jersey City LLC
• Dishon Healthcare Solutions, LLC
• Jessica Disla, LCSW
• Yuliya Disson, LSW
• Marie C Ditommaso, CNM

• Pediatrics Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.