Organization Active NPI

John P Handago Physician PC

  • Specialist
  • Middletown, NY
National Provider Identifier
1336265941
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
132248 Issued in NY
Legal business name
JOHN P HANDAGO PHYSICIAN PC
Practice address
390 Crystal Run Rd
104
Middletown, NY 10941-7000
Phone
(845) 703-3050
Fax
(845) 703-3055
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. John Paul Handago, M.D.
Title
President
Phone
(845) 703-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 132248 NY Primary

Addresses

Primary practice location

390 Crystal Run Rd
104
Middletown, NY 10941-7000

Mailing address

390 Crystal Run Rd
Suite 104
Middletown, NY 10941-4050
Phone (845) 703-3050

National Provider Directory

National Provider Directory

Locations

529 Route 515
Ste 104
Vernon, NJ 07462
Phone (201) 317-3768

212 State Rt 94
Vernon, NJ 07462
Phone (973) 209-0086

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1336265941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD",
            "address_2": "SUITE 104",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414050",
            "telephone_number": "845-703-3050",
            "fax_number": "845-703-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD",
            "address_2": "104",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-703-3050",
            "fax_number": "845-703-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P HANDAGO PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "HANDAGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-703-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "132248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.