Individual provider Active NPI

Yolanda I Dagnino, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Cedar Grove, NJ
National Provider Identifier
1336497106
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
24MA03441900 Issued in NJ
Practice address
39 Anderson Pkwy
Cedar Grove, NJ 07009-1111
Phone
(973) 622-3570
NPI assigned
Aug 27, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
24MA03441900NJMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.