Ronald Jay Bagner, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03763600 Issued in NJ

Practice address

8 Auer CT Ste B
East Brunswick, NJ 08816-5846

Phone

(732) 390-0073

Fax

(732) 390-5984

NPI assigned

Dec 29, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285790600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AUER CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165846",
            "telephone_number": "732-390-0073",
            "fax_number": "732-390-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AUER CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165846",
            "telephone_number": "732-390-0073",
            "fax_number": "732-390-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNER",
        "first_name": "RONALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03763600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wageeh W. Azer, MD
• Sarath Babu, MD
• Lynda Bachman, CERTIFICATION
• Michelle M Backhaus, D.M.D
• Lauren Baghsarian
• Phillip F. Bahramipour, M.D.
• Allison Baile, AU.D, CCC-A
• Wael Kamel Benyamin Bakhoum
• Salim Banbahji, M.D.
• Sumit Baral, M.D.

• Surgery Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Surgery Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.