Active NPI
John Paul Palu-Regan, D.O.
- Plastic Surgery Physician
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- OS019100
- Practice address
- 104 Pheasant Run Ste 123
Newtown, PA 18940-3413 - Phone
- (215) 860-9600
- Fax
- (215) 633-3480
- NPI assigned
- May 3, 2012
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | OS019100 | PA | Primary |
| Plastic Surgery Physician | 208200000X | 25MB10128600 | NJ |
Addresses
Primary practice location
104 Pheasant Run Ste 123
Newtown, PA 18940-3413
Mailing address
88 Clifton PL Apt 819
Jersey City, NJ 07304-7009
Phone (713) 859-9348
Other names 1
- Dr. John Paul Regan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019100 | PA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical Group PC | Current | Accepting new patients | |
| Rinklefree, LLC | Plastic Surgery | Current | Accepting new patients |
| St. Joseph'S Healthcare, Inc. | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
234 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 754-4171
220 Hamburg Tpke
Ste 4
Wayne, NJ 07470
Phone (973) 389-6022
220 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-8090
104 Pheasant Run
Ste 123
Newtown, PA 18940
Phone (215) 702-8600
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jpaluregan4771154@nychhc.direct-ci.com
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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Plastic Surgery Physician
- Newtown, PA
- NPI 1932557311
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1629337118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CLIFTON PL APT 819",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073047009",
"telephone_number": "713-859-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PHEASANT RUN STE 123",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403413",
"telephone_number": "215-860-9600",
"fax_number": "215-633-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALU-REGAN",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "OS019100",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "25MB10128600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "REGAN",
"middle_name": "PAUL",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.