Active NPI
Joshua Joel Pagano, D.O.
- Psychiatry Physician
- Goldsboro, NC
National Provider Identifier
1689995730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2015-00731
- Practice address
- 1401 W Ash St
Goldsboro, NC 27530-1078 - Phone
- (919) 947-8253
- NPI assigned
- Jun 11, 2010
- Last updated
- Jun 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2015-00731 | NC | Primary |
Addresses
Primary practice location
1401 W Ash St
Goldsboro, NC 27530-1078
Mailing address
1401 W Ash St
Goldsboro, NC 27530-1078
Phone (919) 947-8253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|
| 2015-00731 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients |
Locations
5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661
619 Sullivan Rd
Statesville, NC 28677
Phone (704) 871-0934
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1306167713
-
- Pharmacy
- New Bern, NC
- NPI 1013769629
-
- Community/Behavioral Health Agency
- Statesville, NC
- NPI 1942362884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1689995730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-947-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-947-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGANO",
"first_name": "JOSHUA",
"middle_name": "JOEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2015-00731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.