Provider Demographics
NPI:1669420279
Name:KUGLER, JAY (DO)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:
Last Name:KUGLER
Suffix:
Gender:
Credentials:DO
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 13700-1369
Mailing Address - Street 2:COMMONWEALTH EMERGENCY PHYSICIANS, PC
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-1369
Mailing Address - Country:US
Mailing Address - Phone:800-666-2455
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:44045 RIVERSIDE PARKWAY
Practice Address - Street 2:LOUDOUN HOSPITAL CENTER
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-658-6040
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102-201166207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005879647Medicaid
G85351Medicare UPIN