Individual provider Active NPI

Dominic Joseph Laganella, D.O.

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1811084791
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
100 Heritage Valley Dr
Suite 2
Sewell, NJ 08080-1752
Phone
(856) 582-2469
Fax
(856) 218-0544
NPI assigned
Oct 10, 2006
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
Family Medicine Physician 207Q00000X NJ Primary

Addresses

Primary practice location

100 Heritage Valley Dr
Suite 2
Sewell, NJ 08080-1752

Mailing address

100 Heritage Valley Dr
Suite 2
Sewell, NJ 08080-1752
Phone (856) 582-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB0288600NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811084791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HERITAGE VALLEY DR",
            "address_2": "SUITE 2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801752",
            "telephone_number": "856-582-2469",
            "fax_number": "856-218-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HERITAGE VALLEY DR",
            "address_2": "SUITE 2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801752",
            "telephone_number": "856-582-2469",
            "fax_number": "856-218-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGANELLA",
        "first_name": "DOMINIC",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.