MR. JONATHAN R FUGO-TUTALO D.O.
NPI 1407056534
Plastic Surgery in New Windsor, NY

Active since July 18, 2007PECOS Enrolled
92 OLD ROUTE 9W, SUITE 100, NEW WINDSOR, NY 12553(845) 565-7040(845) 565-7060 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Dec 23, 2015 (2 updates tracked since 2015).

About Mr. Jonathan R Fugo-tutalo D.o. NPPES

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

MR. JONATHAN R FUGO-TUTALO D.O. (NPI 1407056534) is an individual plastic surgery provider in New Windsor, New York, licensed in New York (260705) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407056534
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. JONATHAN R FUGO-TUTALOCredential: D.O.
Location Address92 OLD ROUTE 9W, SUITE 100New Windsor, NY 12553-5485
Mailing Address92 Old Route 9w, Suite 100New Windsor, NY 12553-5485 · (845) 565-7040 · Fax (845) 565-7060
Fax(845) 565-7060
Sole ProprietorYes
Enumeration DateJuly 18, 2007
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPI 1407056534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in NY · 260705
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
92 OLD ROUTE 9W, New Windsor, NY 12553

Other Names 1

Former Name (1)Mr. Jonathan R Fugo D.o.

Other Identifiers 1

Medicaid03372070NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jonathan R Fugo-tutalo D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Surgery (Plastic and Reconstructive Surgery)
92 OLD ROUTE 9W, SUITE 100
NEW WINDSOR, NY 12553

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 Jonathan Fugo-tutalo's NPI number?

The NPI number for Jonathan Fugo-tutalo is 1407056534. It was assigned to this individual provider in the NPPES registry on July 18, 2007. The provider is also known as Mr. Jonathan R Fugo D.O..

Where is Jonathan Fugo-tutalo located?

Jonathan Fugo-tutalo practices at 92 Old Route 9W Suite 100, New Windsor, NY 12553. The listed phone number is (845) 565-7040.

What is Jonathan Fugo-tutalo's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jonathan Fugo-tutalo enrolled in Medicare?

Yes. Jonathan Fugo-tutalo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Fugo-tutalo was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.