Tommy Pagonis, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02348100 Issued in NJ

Practice address

1358 Hooper Ave
Toms River, NJ 08753-2882

Phone

(732) 914-2224

Fax

(732) 914-0087

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Absecon Family Dental

  • Dentist
  • Absecon, NJ
  • NPI 1063498764
  NPD (past)
• Lakewood Family Dental

  • Dentist
  • Lakewood, NJ
  • NPI 1578549267
  NPD (past)
• Shore Family Dental

  • Dentist
  • Toms River, NJ
  • NPI 1003892795
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1780883769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532882",
            "telephone_number": "732-914-2224",
            "fax_number": "732-914-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532882",
            "telephone_number": "732-914-2224",
            "fax_number": "732-914-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGONIS",
        "first_name": "TOMMY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02348100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwaku Sarpong Owusu
• Adaobi Amelia Ozigbo, MD
• Hosanna Pacheco
• Frederick Charles Padovano, D.C.
• Jenna Pagano
• Austin Michael Paisley, PHARMD
• Siobhan Ann Pakenham, D.C.
• Haig Pakhchanian, MD
• Alfred Errol Palmieri, M.D.
• Nicole Kristen Palmieri, APN

• Oral and Maxillofacial Surgery (Dentist) in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.

Verify at the official NPI Registry.