Individual provider Active NPI

Jack Robert Dugo Jr., D.C.

  • Chiropractor
  • Middletown, NJ
National Provider Identifier
1184775777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00630600 Issued in NJ
Practice address
1270 State Route 35
Middletown, NJ 07748-2014
Phone
(732) 615-9420
Fax
(732) 615-9427
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Chiropractor 111N00000X 38MC00630600 NJ Primary

Addresses

Primary practice location

1270 State Route 35
Middletown, NJ 07748-2014

Mailing address

1270 State Route 35
Middletown, NJ 07748-2014
Phone (732) 615-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041126000014 NJ Practitioner - Chiropractic 6901861335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Connecticut School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Cherry Tree Farm Rd
Middletown, NJ 07748-2251

20 Cherry Tree Rd
Middletown, NJ 07748-2251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Spine LLC Current Accepting new patients
Jack R. Dugo, Jr., D.C., LLC Chiropractor CurrentSince Sep 2, 2004 Accepting new patients
Sood Medical Practice, LLC Past Accepting new patients

Locations

1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900

20 Cherry Tree Farm Rd
Middletown, NJ 07748
Phone (732) 372-7701

9 Hospital Dr
Ste B4
Toms River, NJ 08755
Phone (732) 766-3357

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184775777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482014",
            "telephone_number": "732-615-9420",
            "fax_number": "732-615-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482014",
            "telephone_number": "732-615-9420",
            "fax_number": "732-615-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGO",
        "first_name": "JACK",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00630600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.