Organization Active NPI

Dr. Fugo Plastic Surgery, P.L.L.C.

  • Plastic and Reconstructive Surgery Physician
  • New Windsor, NY
National Provider Identifier
1649683905
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
260705 Issued in NY
Legal business name
DR. FUGO PLASTIC SURGERY, P.L.L.C.
Practice address
92 Old Route 9W
Suite 100
New Windsor, NY 12553-5485
Phone
(845) 565-7040
Fax
(845) 565-7060
NPI assigned
Jun 4, 2014
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Jonathan R Fugo, D.O.
Title
Business Owner
Phone
(845) 565-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 260705 NY Primary

Addresses

Primary practice location

92 Old Route 9W
Suite 100
New Windsor, NY 12553-5485

Mailing address

92 Old Route 9W
Suite 100
New Windsor, NY 12553-5485
Phone (845) 565-7040

National Provider Directory

National Provider Directory

Locations

92 Old Route 9W
Ste 100
New Windsor, NY 12553
Phone (845) 565-7040

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1649683905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 OLD ROUTE 9W",
            "address_2": "SUITE 100",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535485",
            "telephone_number": "845-565-7040",
            "fax_number": "845-565-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 OLD ROUTE 9W",
            "address_2": "SUITE 100",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535485",
            "telephone_number": "845-565-7040",
            "fax_number": "845-565-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FUGO PLASTIC SURGERY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "FUGO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "845-565-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "260705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.