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DR. JOSE R FRAGOSO MD
NPI 1164497624
Pediatrics - Adolescent Medicine in Union City, NJ

Active since February 20, 2006
4808 BERGENLINE AVE, 5TH FLOOR, UNION CITY, NJ 07087(201) 865-3444(201) 865-0038 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jose R Fragoso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE R FRAGOSO MD (NPI 1164497624) is an individual adolescent medicine provider in Union City, New Jersey, licensed in New Jersey (25MA04358900) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1164497624
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. JOSE R FRAGOSOCredential: MD
Location Address4808 BERGENLINE AVE, 5TH FLOORUnion City, NJ 07087-5172
Mailing Address4808 Bergenline Ave, 5th FloorUnion City, NJ 07087-5172 · (201) 865-3444 · Fax (201) 865-0038
Phone(201) 865-3444
Fax(201) 865-0038
Sole ProprietorYes
Enumeration DateFebruary 20, 2006
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1164497624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NJ · 25MA04358900
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4808 BERGENLINE AVE, Union City, NJ 07087
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Other Names 1

Former Name (1)Dr. Jose R Fragoso Md

Other Identifiers 3

Other1140004NJ · Horizon Nj Health
Other81801NH · Amerigroup
OtherHP080NJ · Oxford

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBENEDICTIS & TESTA, DPM, PA
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
DR. JACK TESTA DPM
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
DR. MARGARET PORTELA DPM
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
DR. THOMAS HENRY DEBENEDICTIS DPM
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
JOSE FRAGOSO MD
Pediatrics
4808 BERGENLINE AVE
UNION CITY, NJ 07087
Hudson County (732) 281-3590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Fragoso's NPI number?

The NPI number for Jose Fragoso is 1164497624. It was assigned to this individual provider in the NPPES registry on February 20, 2006. The provider is also known as Dr. Jose R Fragoso MD.

Where is Jose Fragoso located?

Jose Fragoso practices at 4808 Bergenline Ave 5th Floor, Union City, NJ 07087. The listed phone number is (201) 865-3444.

What is Jose Fragoso's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jose Fragoso was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.