Individual provider Active NPI

Angelito O Arago, MD

  • Surgery Physician
  • West New York, NJ
National Provider Identifier
1801952684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA02404200 Issued in NJ
Practice address
6040 Blvd East
L7
West New York, NJ 07093
Phone
(201) 861-0720
Fax
(201) 861-5560
NPI assigned
Dec 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA02404200 NJ Primary

Addresses

Primary practice location

6040 Blvd East
L7
West New York, NJ 07093

Mailing address

6040 Blvd East
Suite L7
West New York, NJ 07093
Phone (201) 861-0720

Other identifiers 4

IdentifierTypeStateIssuer
2496234OtherNJAETNA
HS135OtherNJOXFORD
1062661OtherNJHORIZON NJ HLTH
1081900MedicaidNJ

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
I20070919000537 NJ Practitioner - General Surgery 8820182041 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA02404200NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Pulmonary Diagnostic LLC CurrentSince Dec 1, 2021 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Juan a Gonzalez MD PA Surgery Past Accepting new patients
Institute for Better Breathing PC Past Accepting new patients
NJ Cardiovascular Institute LLC PastSince Jul 10, 2017 Accepting new patients

Locations

1255 Route 70
Ste 12S
Lakewood, NJ 08701
Phone (732) 987-9676

1265 Paterson Plank Rd
Ste 2E
Secaucus, NJ 07094
Phone (201) 216-3055

Interoperability endpoints

  • Direct secure messaging: angelito.arago@direct.christhospital.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801952684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 BLVD EAST",
            "address_2": "SUITE L7",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-861-0720",
            "fax_number": "201-861-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 BLVD EAST",
            "address_2": "L7",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-861-0720",
            "fax_number": "201-861-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGO",
        "first_name": "ANGELITO",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA02404200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2496234",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HS135",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HLTH",
            "identifier": "1062661",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1081900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.