Individual provider Active NPI

Joven P Dungo, MD

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1386726230
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04298200 Issued in NJ
Practice address
205 9TH Street
Jersey City, NJ 07302
Phone
(201) 653-1144
Fax
(201) 653-6104
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA04298200 NJ
Cardiovascular Disease Physician 207RC0000X 25MA04298200 NJ Primary

Addresses

Primary practice location

205 9TH Street
Jersey City, NJ 07302

Mailing address

PO Box 477 Montgomery Street
Jersey City, NJ 07303
Phone (201) 653-1144

Other identifiers 1

IdentifierTypeStateIssuer
118041MedicaidNJ

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000714 NJ Practitioner - Internal Medicine 5991980575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

205 9TH St
Jersey City, NJ 07302-1704
Phone (201) 653-1144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04298200NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group Multi-Specialty CurrentSince Oct 9, 2020 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
David W. Lee MD PA Multi-Specialty PastSince Feb 6, 2007 Accepting new patients
Jersey City Medical Center Past Accepting new patients
St. Mary Cardiology Associates Multi-Specialty Past Accepting new patients

Locations

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

205 9th St
Jersey City, NJ 07302
Phone (201) 420-1411

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

Interoperability endpoints

  • Direct secure messaging: joven.dungo@direct.carepointhealth.org
  • Direct secure messaging: joven.dungo@direct.christhospital.md

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1386726230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477 MONTGOMERY STREET",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07303",
            "telephone_number": "201-653-1144",
            "fax_number": "201-653-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 9TH STREET",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-653-1144",
            "fax_number": "201-653-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGO",
        "first_name": "JOVEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04298200",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04298200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118041",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.