Provider Demographics
NPI:1093847931
Name:DONALD J. BEGGS, MD PA
Entity Type:Organization
Organization Name:DONALD J. BEGGS, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-597-0704
Mailing Address - Street 1:P.O. BOX 110061
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-0902
Mailing Address - Country:US
Mailing Address - Phone:239-597-0704
Mailing Address - Fax:239-597-0704
Practice Address - Street 1:5 FRANKLIN
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3532
Practice Address - Country:US
Practice Address - Phone:239-597-0704
Practice Address - Fax:239-597-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06806800207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8447501Medicaid
NJ045719Medicare ID - Type Unspecified