Mabagos, Jerry D
Mabagos, Jerry D is an individual health care provider with primary practice located at 34 Machester Ave, Suite 201 , Forked River NJ 08731-1366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mabagos, Jerry D can be contacted via phone (609) 242-5041.Contact Information
Primary practice address
34 Machester Ave, Suite 201
Forked River NJ 08731-1366
Phone: (609) 242-5041
Fax: (609) 489-4835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA66825 | New Jersey |
Profile Details
| NPI number | 1164458451 |
|---|---|
| LBN Legal business name | Mabagos, Jerry D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Mar 16th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164458451 | NPPES |
| New Jersey | MEDICAID | 8092800 |
Popular Providers
-
Pathak, Vineeta Jha
886 Commons Way Bldg H, Toms River NJ 08755-6430 -
Hollema, Cheryl Denise
40 Bey Lea Road Ste B203, Toms River NJ 08753 -
Ramos, Maria Georgina Pineda
833 Lacey Rd Suite 3, Forked River NJ 08731 -
Patestos, Chris A
1314 Hooper Ave Bldg 12Nd , Toms River NJ 08753-2586 -
Braverman, Isaac
40 Bey Lea Road Ste B203, Toms River NJ 08753 -
Dever, Matthew
40 Bey Lea Rd Ste B203, Toms River NJ 08753-2900 -
Geneslaw, Charles H
1314 Hooper Ave 2Nd Floor, Toms River NJ 08753-2975 -
Faheem, Ayman A.
1717 New Hampshire Ave , Toms River NJ 08755-2135