Provider Demographics
NPI:1801952684
Name:ARAGO, ANGELITO O (MD)
Entity type:Individual
Prefix:MR
First Name:ANGELITO
Middle Name:O
Last Name:ARAGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 BLVD EAST
Mailing Address - Street 2:SUITE L7
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093
Mailing Address - Country:US
Mailing Address - Phone:201-861-0720
Mailing Address - Fax:201-861-5560
Practice Address - Street 1:6040 BLVD EAST
Practice Address - Street 2:L7
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093
Practice Address - Country:US
Practice Address - Phone:201-861-0720
Practice Address - Fax:201-861-5560
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA02404200208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2496234OtherAETNA
NJHS135OtherOXFORD
NJ1062661OtherHORIZON NJ HLTH
NJ1081900Medicaid
NJHS135OtherOXFORD
NJ449937Medicare ID - Type Unspecified