Active NPI
Ralph N Daggan III, CRNA
- Certified Registered Nurse Anesthetist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NO07823500
- Practice address
- 1 Cooper PLZ
Dept of Anestheisa
Camden, NJ 08103-1461 - Phone
- (856) 342-2425
- Fax
- (856) 968-8239
- NPI assigned
- Oct 11, 2006
- Last updated
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NO07823500 | NJ | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN272385L | PA |
Addresses
Primary practice location
1 Cooper PLZ
Dept of Anestheisa
Camden, NJ 08103-1461
Mailing address
1 Federal St
Ste Sw200
Camden, NJ 08103-1155
Phone (856) 382-6530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010007379 | Other | NJ | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NO07823500 | NJ | MD | Certified Registered Nurse Anesthetist |
| RN272385L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Cooper Anesthesia Associates, PC | Current | Accepting new patients | |
| CHC Pain Management Center, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770
130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Camden, NJ
- NPI 1538109913
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1477641405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST",
"address_2": "STE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031155",
"telephone_number": "856-382-6530",
"fax_number": "856-968-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"address_2": "DEPT OF ANESTHEISA",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2425",
"fax_number": "856-968-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGGAN",
"first_name": "RALPH",
"middle_name": "N",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "NO07823500",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN272385L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "010007379",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.