Provider Demographics
NPI:1699389817
Name:CAGIGAS, JOHN PAUL TALMADGE (NP)
Entity Type:Individual
Prefix:
First Name:JOHN PAUL
Middle Name:TALMADGE
Last Name:CAGIGAS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 N INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3423
Mailing Address - Country:US
Mailing Address - Phone:631-715-9751
Mailing Address - Fax:
Practice Address - Street 1:402 N INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3423
Practice Address - Country:US
Practice Address - Phone:631-715-9751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF431831-01363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care