Dr. Jose R Fragoso, MD
Pediatrics, Adolescent Medicine in Union City, New Jersey
1164497624- Practice location
- 4808 Bergenline Ave, 5TH Floor, Union City, NJ 07087-5172
- Phone
- 201-865-3444
- Fax
- 201-865-0038
- Last updated
- February 4, 2021
Jose R Fragoso is a Pediatrics, Adolescent Medicine based in Union City, NJ. Jose R Fragoso practices in Union City, NJ and has the professional credentials of MD. The NPI Number for Jose R Fragoso is 1164497624 and holds a License No. 25MA04358900 (NJ). The current practice location address for Jose R Fragoso is 4808 Bergenline Ave, 5TH Floor, Union City, NJ 07087-5172 and can be reached out via phone at 201-865-3444 and via fax at 201-865-0038.
Provider Profile Details
- NPI Number
- 1164497624
- Provider Name
- Jose R Fragoso
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4808 Bergenline Ave, 5TH Floor, Union City, NJ 07087-5172
- Phone Number
- 201-865-3444
- Fax Number
- 201-865-0038
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Sole Proprietor
- Yes
- Other Names
- Dr. Jose R Fragoso, MD (Former Name)
- Provider Enumeration Date
- February 20, 2006
- Last Update Date
- February 4, 2021
- Certification Date
- February 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4808 Bergenline Ave
5TH Floor
Union City, NJ 07087-5172 - City
- Union City
- State
- New Jersey
- Zip
- 07087-5172
- Phone Number
- 201-865-3444
- Fax Number
- 201-865-0038
Provider Business Mailing Address Details
- Address
- 4808 Bergenline Ave
5TH Floor
Union City, NJ 07087-5172 - City
- Union City
- State
- NJ
- Zip
- 07087-5172
- Phone Number
- 201-865-3444
- Fax Number
- 201-865-0038
License Information
- License Number
- 25MA04358900
- License State
- NJ
- Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Jose R Fragoso, MD?
The NPI number of Dr. Jose R Fragoso, MD is 1164497624. It was assigned on February 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jose R Fragoso, MD?
Dr. Jose R Fragoso, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number 25MA04358900.
Where does Dr. Jose R Fragoso, MD practice?
The practice location is 4808 Bergenline Ave, 5TH Floor, Union City, NJ 07087-5172. The office can be reached at 201-865-3444 (phone) or 201-865-0038 (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 1164497624 directly on the NPPES registry website.