Individual provider Active NPI

Dylan Mitchell Hagel, PA-C

  • Physician Assistant
  • Neptune, NJ
National Provider Identifier
1922623115
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00576900 Issued in NJ
Practice address
1820 State Route 33 Ste 4B
Neptune, NJ 07753-4860
Phone
(732) 776-8500
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-GTL-20-00749 NJ
Physician Assistant 363A00000X 25MP00576900 NJ Primary

Addresses

Primary practice location

1820 State Route 33 Ste 4B
Neptune, NJ 07753-4860

Mailing address

40 Cross Rd Apt 39
Matawan, NJ 07747-1105
Phone (610) 764-1804

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201102000233 NJ Practitioner - Physician Assistant 2264842392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians
Shore Heart Group, PAGroup PAC ID 1557268448, 36 clinicians

Practice addresses (Care Compare)

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

35 Beaverson Blvd
9B
Brick, NJ 08723-7862
Phone (732) 262-4262

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 281-1101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Promoting interoperability
82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-GTL-20-00749NJMDPhysician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1922623115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSS RD APT 39",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077471105",
            "telephone_number": "610-764-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33 STE 4B",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-776-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEL",
        "first_name": "DYLAN",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "PA-GTL-20-00749",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00576900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.