Active NPI
Richard Louis Agag, MD
- Plastic Surgery Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25MA09918500
- Practice address
- 1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928 - Phone
- (732) 828-3000
- NPI assigned
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 245976 | NY | |
| Plastic Surgery Physician | 208200000X | 25MA09918500 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Mailing address
PO Box 829642
Philadelphia, PA 19182-9642
Phone (866) 470-6626
Other practice location 1
499 7th Ave
Floor 20N
New York, NY 10018-6803
Phone (917) 716-3724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011003140 | NJ | Practitioner - Plastic and Reconstructive Surgery | 1850560731 | Reassigns benefits to 1 organization |
| I20241031000675 | CT | Practitioner - Plastic and Reconstructive Surgery | 1850560731 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Rutgers New Jersey Medical School, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Rutgers Health-RWJ Neurosurgery Faculty
Practice addresses (Care Compare)
125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 235-7865
5520 Park Ave
Suite WP 2300
Trumbull, CT 06611-3463
Phone (203) 383-0392
Hospital & facility affiliations
- Robert Wood Johnson University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245976 | NY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| The Diep Group CT PLLC | Plastic Surgery | Current | Accepting new patients |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Plastic and Reconstructive Breast Surgery PLLC | Past | Accepting new patients |
Locations
5520 Park Ave
Ste WP2300
Trumbull, CT 06611
Phone (203) 374-0310
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
Interoperability endpoints
- ragag318963@direct.ynhh.org
- richard.agag@xdr.hhchealthdirect.org
- ragag17841@epicdirect.rwjbh.org
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1548645260
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1497937486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 829642",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191829642",
"telephone_number": "866-470-6626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-828-3000"
}
],
"practiceLocations": [
{
"address_1": "499 7th Ave",
"address_2": "Floor 20N",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100186803",
"country_code": "US",
"telephone_number": "917-716-3724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGAG",
"first_name": "RICHARD",
"middle_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "245976",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "25MA09918500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.