JERRY D MABAGOS MD NPI 1164458451

NPI Information

  • NPI: 1164458451
  • Provider Name: JERRY D MABAGOS, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 34 MACHESTER AVE, SUITE 201
    FORKED RIVER, NJ
    ZIP 08731
  • Phone: (609) 242-5041

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NPI Details

Jerry D Mabagos, MD is a pediatrics in Forked River, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jerry D Mabagos, MD NPI is 1164458451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34 MACHESTER AVE, SUITE 201
FORKED RIVER, NJ
ZIP 08731-366
Phone: (609) 242-5041
Fax: (609) 489-4835

The enumeration date for this NPI number is 6/25/2006 and was last updated on 3/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMA66825NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18092800MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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