NPIMap

Individual provider Active NPI

Robert J Dagostini Jr., MD

  • Orthopaedic Surgery Physician
  • Cedar Knolls, NJ
National Provider Identifier
1407880115
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA04611100 Issued in NJ
Practice address
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Phone
(973) 538-2334
Fax
(908) 234-2022
NPI assigned
Jul 10, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA04611100 NJ Primary

Addresses

Primary practice location

197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111

Mailing address

1590 Route 206 North
Bedminster, NJ 07921
Phone (973) 538-2334

Other identifiers 1

IdentifierTypeStateIssuer
2060302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000635 NJ Practitioner - Orthopedic Surgery 5991842536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Orthopaedic and Sports Medicine PAGroup PAC ID 7416840491, 43 clinicians

Practice addresses (Care Compare)

1590 Route 206 N
Bedminster, NJ 07921-2566
Phone (973) 538-2334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.23 of 100Reported as group
Quality
79.62
Promoting interoperability
73
Improvement activities
40
Cost
73.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Oct 15, 2012 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Oct 15, 2012 Accepting new patients
Bedminster Orthopaedics & Sports Medicine PA Orthopaedic Surgery PastSince Jan 1, 1992 Accepting new patients

Locations

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1407880115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 ROUTE 206 NORTH",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "973-538-2334",
            "fax_number": "908-234-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272111",
            "telephone_number": "973-538-2334",
            "fax_number": "908-234-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGOSTINI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04611100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.