John Edoga, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MA03081900 Issued in NJ

Practice address

177 Madison Ave
Morristown, NJ 07960-6000

Phone

(973) 656-0777

Fax

(973) 656-0717

NPI assigned

Aug 7, 2012

Last updated

Aug 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Inspira SJ Urgent Care PC

  • Urgent Care Clinic/Center
  • Vineland, NJ
  • NPI 1619320991
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1962759126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606000",
            "telephone_number": "973-656-0777",
            "fax_number": "973-656-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606000",
            "telephone_number": "973-656-0777",
            "fax_number": "973-656-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOGA",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA03081900",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA03081900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel David Echeverri, MD
• Chelsea Eckert
• Jessica Eckert, DO
• Devin Brazill Eckstein, D.O
• Osemeke S Edobor, M.D.
• Edward V Saradarian MD
• Naila Edwards, MD
• Tess Edwards
• Effloresce Wellness, LLC
• Barry J Efros, MD

• Vascular Surgery Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.