Individual provider Active NPI

Hector David Aguilar Jr., MD

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1699902296
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09366300 Issued in NJ
Practice address
150 Bergen Street Uh-H245
University Hospital
Newark, NJ 07103
Phone
(973) 972-5672
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09366300 NJ Primary
Pediatrics Physician 208000000X 25MA09366300 NJ

Addresses

Primary practice location

150 Bergen Street Uh-H245
University Hospital
Newark, NJ 07103

Mailing address

512 Kearny Ave
Kearny, NJ 07032-2703
Phone (201) 998-7474

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120000437 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9436385531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09366300NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Associates of West Hudson Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients

Locations

512 Kearny Ave
Kearny, NJ 07032
Phone (201) 428-2424

512 Kearny Ave
Ste B
Kearny, NJ 07032
Phone (201) 998-7474

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1699902296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322703",
            "telephone_number": "201-998-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN STREET UH-H245",
            "address_2": "UNIVERSITY HOSPITAL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "HECTOR",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09366300",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09366300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.