Active NPIIndividual provider

Jerry D Mabagos, MD

Pediatrics in Brick, New Jersey

NPI Number1164458451
Practice location
525 Route 70 Ste 1C, Brick, NJ 08723-4022
Fax
732-458-6356
Last updated
December 29, 2025

Jerry D Mabagos is a Pediatrics based in Brick, NJ. Jerry D Mabagos practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Jerry D Mabagos is 1164458451 and holds a License No. 25MA06682500 (NJ). The current practice location address for Jerry D Mabagos is 525 Route 70 Ste 1C, Brick, NJ 08723-4022 and can be reached out via phone at 732-279-6537 and via fax at 732-458-6356.

Provider Profile Details

NPI Number
1164458451
Provider Name
Jerry D Mabagos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
525 Route 70 Ste 1C, Brick, NJ 08723-4022
Phone Number
732-279-6537
Fax Number
732-458-6356
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2006
Last Update Date
December 29, 2025
Certification Date
December 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Route 70 Ste 1C
Brick, NJ 08723-4022
City
Brick
Zip
08723-4022
Phone Number
732-279-6537
Fax Number
732-458-6356
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792
City
Red Bank
State
NJ
Zip
07701-5792
Phone Number
732-807-0877
Fax Number
201-751-1680

License Information

License Number
25MA06682500
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jerry D Mabagos, MD?

The NPI number of Jerry D Mabagos, MD is 1164458451. It was assigned on June 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Jerry D Mabagos, MD?

Jerry D Mabagos, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06682500.

Where does Jerry D Mabagos, MD practice?

The practice location is 525 Route 70 Ste 1C, Brick, NJ 08723-4022. The office can be reached at 732-279-6537 (phone) or 732-458-6356 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164458451 directly on the NPPES registry website.

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