Ralph Fragoso

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

50 Dayton LN Ste 205
Peekskill, NY 10566-2860

Phone

(914) 736-3371

Fax

(914) 736-3372

NPI assigned

Dec 9, 2008

Last updated

Dec 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1548405392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700",
            "fax_number": "914-965-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN STE 205",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662860",
            "telephone_number": "914-736-3371",
            "fax_number": "914-736-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO",
        "first_name": "RALPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI #",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICARE ID#",
            "identifier": "WVE061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID PROVIDER ID",
            "identifier": "00355940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Flaherty
• Sara Rebecca Folks, MSW
• John Battista Fontana Jr., DMD
• Joseph C. Fontana, DDS
• Kelly Foster, LMHC
• Alison Ann Fuentes
• Corey Fuller
• Tyler G Fuller, MD
• Gregory Ronald Gaafar
• Krista M. Gaetano

• Counselor in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.