- Practice location
- 4422 3RD Ave, Bronx, NY 10457-2594
- Phone
- 718-960-6619
- Fax
- —
- Last updated
- May 10, 2025
Jonathan Ilagan is a Student in an Organized Health Care Education/Training Program based in Bronx, NY. Jonathan Ilagan practices in Bronx, NY and has the professional credentials of DDS. The NPI Number for Jonathan Ilagan is 1902695190. The current practice location address for Jonathan Ilagan is 4422 3RD Ave, Bronx, NY 10457-2594 and can be reached out via phone at 718-960-6619.
Provider Profile Details
- NPI Number
- 1902695190
- Provider Name
- Jonathan Ilagan
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4422 3RD Ave, Bronx, NY 10457-2594
- Phone Number
- 718-960-6619
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2025
- Last Update Date
- May 10, 2025
- Certification Date
- May 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4422 3RD Ave
Bronx, NY 10457-2594 - City
- Bronx
- State
- New York
- Zip
- 10457-2594
- Phone Number
- 718-960-6619
Provider Business Mailing Address Details
- Address
- 2461 Camner St
Fort Lee, NJ 07024-3937 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-3937
- Phone Number
- 201-450-2442
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · 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. Jonathan Ilagan, DDS?
The NPI number of Dr. Jonathan Ilagan, DDS is 1902695190. It was assigned on May 5, 2025 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan Ilagan, DDS?
Dr. Jonathan Ilagan, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dr. Jonathan Ilagan, DDS practice?
The practice location is 4422 3RD Ave, Bronx, NY 10457-2594. The office can be reached at 718-960-6619 (phone).
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 1902695190 directly on the NPPES registry website.