JACKITO JUGAN DAITOL NP
NPI 1891762662
Nurse Practitioner - Adult Health in East Orange, NJ

Q: What is Jackito Daitol's NPI number?

The NPI number for Jackito Daitol is 1891762662. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Jack Jugan Daitol Np.

Q: What is Jackito Daitol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jackito Daitol was last updated on October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 01, 2006PECOS Enrolled

385 TREMONT AVE, EAST ORANGE, NJ 07018(973) 676-1000(973) 395-7003 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jackito Jugan Daitol Np NPPES

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

JACKITO JUGAN DAITOL NP (NPI 1891762662) is an individual adult health provider in East Orange, New Jersey, licensed in New Jersey (26NN09365100) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891762662

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameJACKITO JUGAN DAITOLCredential: NP

Location Address385 TREMONT AVEEast Orange, NJ 07018-1023

Mailing Address801 Walnut StRoselle Park, NJ 07204-1350 · (908) 245-0604

Phone(973) 676-1000

Fax(973) 395-7003

Sole ProprietorYes

Enumeration DateMarch 1, 2006

Last NPPES UpdateOctober 22, 2012

✔ NPI 1891762662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NN09365100

385 TREMONT AVE, East Orange, NJ 07018

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Other Names 1

Other Name (5)Jack Jugan Daitol Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackito Jugan Daitol Np 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 07018 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

MRS. GWENDOLYN CARMEL RVT

Specialist/Technologist Cardiovascular (Vascular Specialist)

385 TREMONT AVE, 112
EAST ORANGE, NJ 07018

Essex County (973) 676-1000

EBONY MARIE HAWKES LPN

Licensed Practical Nurse