Individual provider Active NPI

Jagdish C Chugh

  • Pediatrics Physician
  • Hackettstown, NJ
National Provider Identifier
1609980366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA67688 Issued in NJ
Practice address
182 Mountain Ave
Hackettstown, NJ 07840-2412
Phone
(908) 852-8787
Fax
(908) 852-8187
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA67688 NJ Primary

Addresses

Primary practice location

182 Mountain Ave
Hackettstown, NJ 07840-2412

Mailing address

182 Mountain Ave
Hackettstown, NJ 07840-2412
Phone (908) 852-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA67688NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric & Adolescent Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609980366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402412",
            "telephone_number": "908-852-8787",
            "fax_number": "908-852-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402412",
            "telephone_number": "908-852-8787",
            "fax_number": "908-852-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGH",
        "first_name": "JAGDISH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA67688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.