Active NPI
Yolanda I Dagnino, M.D.
- Addiction Medicine (Family Medicine) Physician
- Cedar Grove, NJ
National Provider Identifier
1336497106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 24MA03441900
- Practice address
- 39 Anderson Pkwy
Cedar Grove, NJ 07009-1111 - Phone
- (973) 622-3570
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 24MA03441900 | NJ | Primary |
Addresses
Primary practice location
39 Anderson Pkwy
Cedar Grove, NJ 07009-1111
Mailing address
39 Anderson Pkwy
Cedar Grove, NJ 07009-1111
Phone (973) 622-3570
Other names 1
- Dr. Yolanda Dagnino Lazcano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24MA03441900 | NJ | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comunidad Unida Para la Rehabilitacion de Adictos | Past | Accepting new patients | |
| Comunidad Unida Para Rehabilitacion de Adictos | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Vineland, NJ
- NPI 1629425616
-
- Substance Abuse Rehabilitation Facility
- Newark, NJ
- NPI 1942481189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1336497106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ANDERSON PKWY",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091111",
"telephone_number": "973-622-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 ANDERSON PKWY",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091111",
"telephone_number": "973-622-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGNINO",
"first_name": "YOLANDA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NJ",
"license": "24MA03441900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDA",
"last_name": "LAZCANO",
"middle_name": "DAGNINO",
"prefix": "DR.",
"credential": "M.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cedar Grove, NJ
- County of Essex (Essex County Hospital Center)
- County of Essex (Essex County Hospital)
- Meredith Force Cozzarelli, MS, CCC-SLP
- Susan Elizabeth Cronk, N.P.
- Jill D'Ambrosio
- Nicole De Vita, PSY.D.
- Melanie Decastro
- Ellen Hanft Defilipps, LMFT
- Yahya Mete Dikengil, MD
- Doris M. Dinallo, RN, LCADC, LPC, BCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.