Jose Elago Dugenio, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MA024370 Issued in NJ

Practice address

24 Mitchell Dr
Toms River, NJ 08755-5177

Phone

(732) 505-0887

Fax

(732) 505-0887

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Barron Emergency Physicians LLC

  • Emergency Medicine Physician
  • Manahawkin, NJ
  • NPI 1790736940
  Medicare reassignment

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467473595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MITCHELL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555177",
            "telephone_number": "732-505-0887",
            "fax_number": "732-505-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MITCHELL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555177",
            "telephone_number": "732-505-0887",
            "fax_number": "732-505-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGENIO",
        "first_name": "JOSE",
        "middle_name": "ELAGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA024370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DSP Pharmacy LLC (HC Good Neighbor Pharmacy)
• Michelle Dubnoff, DC
• Laurie Ann Duddy
• Mary T Dugan, LCSW, ACSW
• Shannon Marie Dugan, PA-C
• Martin Daniel Duggan, DO, MPH
• Melissa Dumansky, OTR/L
• Charles Moril Dume, APN
• Cyd Dunlap, LSW, LCADC
• Karen J Dunn, MSW, LSW

• Emergency Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.