Active NPI
Eugene C. Jagella, M.D. PC
- Internal Medicine Physician
- Milford, MA
National Provider Identifier
1528045812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EUGENE C. JAGELLA, M.D. PC
- Practice address
- 40 Prospect St
Milford, MA 01757-3026 - Phone
- (508) 478-4618
- NPI assigned
- Dec 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene C Jagella, M.D.
- Title
- President
- Phone
- (508) 478-4618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA | Primary |
Addresses
Primary practice location
40 Prospect St
Milford, MA 01757-3026
Mailing address
PO Box 9132
Brookline, MA 02446-9132
Phone (603) 893-9784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M19099 | Other | MA | BCBS MASS |
| 9765140 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Franklin, MA
- NPI 1104815539
-
- Nurse Practitioner
- Boston, MA
- NPI 1386616381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1528045812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9132",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469132",
"telephone_number": "603-893-9784",
"fax_number": "603-893-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PROSPECT ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573026",
"telephone_number": "508-478-4618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE C. JAGELLA, M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "JAGELLA",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-478-4618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MASS",
"identifier": "M19099",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9765140",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.