Individual provider Active NPI

Rickie Dugal, M.D.

  • General Practice Physician
  • West Orange, NJ
National Provider Identifier
1851706212
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
053078 Issued in CT
Practice address
6 Baxter LN
West Orange, NJ 07052-1429
Phone
(201) 332-2909
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 053078 CT Primary

Addresses

Primary practice location

6 Baxter LN
West Orange, NJ 07052-1429

Mailing address

6 Baxter LN
West Orange, NJ 07052-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211028000882 FL Practitioner - Family Practice 4587995394 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053078CTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Sep 17, 2021 Accepting new patients
American Current Care P.a. CurrentSince Sep 17, 2021 Accepting new patients

Locations

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1851706212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BAXTER LN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BAXTER LN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521429",
            "telephone_number": "201-332-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAL",
        "first_name": "RICKIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "053078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.