Organization Active NPI

Rodolfo de Los Santos Ongjoco, Jr., MD, PA

  • Psychiatry Physician
  • Southern Pines, NC
National Provider Identifier
1891939419
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9500170 Issued in NC
Legal business name
RODOLFO DE LOS SANTOS ONGJOCO, JR., MD, PA
Practice address
180 Perry Dr
Southern Pines, NC 28387-7020
Phone
(910) 246-0567
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Rodolfo S. Ongjoco Jr., MC
Title
President
Phone
(910) 246-0567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 9500170 NC Primary

Addresses

Primary practice location

180 Perry Dr
Southern Pines, NC 28387-7020

Mailing address

180 Perry Dr
Southern Pines, NC 28387-7020
Phone (910) 246-0567

National Provider Directory

National Provider Directory

Locations

180 Perry Dr
Southern Pnes, NC 28387
Phone (910) 205-8909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1891939419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877020",
            "telephone_number": "910-246-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877020",
            "telephone_number": "910-246-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO DE LOS SANTOS ONGJOCO, JR., MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ONGJOCO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-246-0567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9500170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.