Jose Fragoso MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MAO43589 Issued in NC

Legal business name

JOSE FRAGOSO MD

Practice address

4808 Bergenline Ave
Union City, NJ 07087-5172

Phone

(732) 281-3590

Fax

(732) 281-0054

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose Fragoso, MDNPI 1164497624

Title

Doctor

Phone

(732) 281-3590

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose R Fragoso, MD

  • Pediatric Adolescent Medicine Physician
  • Union City, NJ
  • NPI 1164497624
  Authorized official Same address or phone

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346452166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875172",
            "telephone_number": "732-281-3590",
            "fax_number": "732-281-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875172",
            "telephone_number": "732-281-3590",
            "fax_number": "732-281-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE FRAGOSO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAGOSO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-281-3590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "MAO43589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jersey Hemeonc LLC
• Jersey State Pain Management
• Nawang Lhamo Jhongkadhungpa, RN
• Jonathan Purisima DPM, LLC
• Jayna Marie Jones, LCSW
• Jose Pinal, M.D., P.C.
• Kaviraj Joshi, DPT
• Leah Josiah, DSW,LCSW,CASAC,CARC
• Juan a Gonzalez MD PA
• Juan F. Castillo M.D.

• Pediatrics Physician in Union City, NJ
• Providers in Union City, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.