Eugene M.J. Pugatch, M.D., P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

EUGENE M.J. PUGATCH, M.D., P.A.

Practice address

4 Crestview CT
Montclair, NJ 07042-1702

Phone

(973) 783-6811

Fax

(973) 783-7748

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene M.J. Pugatch, M.D.

Title

Owner

Phone

(973) 783-6811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1174859318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRESTVIEW CT",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421702",
            "telephone_number": "973-783-6811",
            "fax_number": "973-783-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CRESTVIEW CT",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421702",
            "telephone_number": "973-783-6811",
            "fax_number": "973-783-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE M.J. PUGATCH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "PUGATCH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "M.J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-783-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.