Jillian Lagoa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00307500 Issued in NJ

Practice address

901 W Main St
Freehold, NJ 07728-2537

Phone

(732) 294-2666

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jlagoa425248@direct.ahsys.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Jersey Emergency Medicine Associates, PC

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1538106257
  Medicare reassignment
• Doctors Office of Brick

  • Urgent Care Clinic/Center
  • Brick, NJ
  • NPI 1184067944
  Medicare reassignment
• Morristown Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1649541087
  Medicare reassignment

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1346680295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 METEDECONK RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312928",
            "telephone_number": "908-692-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOA",
        "first_name": "JILLIAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00307500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estela V Lacap, M.D.
• Michael Viray Lacap, M.D.
• Deepa H Ladani, NP
• Susan M Lage, DO
• Kailee Lago, APN, FNP-BC
• Patrick S Laliberte, PT
• Sarah Jane Lallier, NP
• Anthony P Lamantia, M.D.
• Gianna Lambert
• Lisa Beth Landskroner, M.S. CCC-SLP

• Physician Assistant in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.