JAMAL HOGAN SR.


Address: 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641
Phone: 6097540367

JAMAL HOGAN SR. (NPI# 1306263108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306263108
Entity Type Individual
Full Name JAMAL HOGAN SR.
Credential IDMT
Practice Address 3322 Charles Blvd
108th Crg
Mcguire Afb
NJ 08641
Mailing Address 253 Montclair Ave Fl 2
Vauxhall
NJ 07088-1316
Practice Telephone 6097540367
Mailing Telephone 9735088169
Enumeration Date 2014-03-19
Last Update Date 2014-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 3322 CHARLES BLVD
108TH CRG
City MCGUIRE AFB
State NJ
Zip Code 08641

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497108856 Prince Philip Internal Medicine Jbmdl, 3458 Neely Road, Apo, AA 08641 2016-07-20
1932517851 Brittany Russell Counselor 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 2014-07-23
1659505030 Kimberley Dawn Bock Tabor Military Health Care Provider 3453 Neely Rd, Mcguire Afb, NJ 08641 2009-05-13
1780835686 Jeffrey Matthew Butch Nurse Practitioner 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 2008-10-09
1376736041 Jennifer Bench Dental Hygienist 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 2007-08-24
1447383765 Nikolay Sky Dentist Mcguire Air Force Base, New Hanover, NJ 08641 2007-03-14
1003995085 Kevin Hale Black Dentist 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 2006-11-02
1336234285 Barbara D Broadt Dietitian, Registered 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 2006-10-04
1649378043 Judith Anne Frankel Psychologist 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 2006-09-20
1649377987 Brenda Pollack Social Worker 3854 Neely Road, Mcguire Afb, NJ 08641 2006-09-20
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659505030 Kimberley Dawn Bock Tabor Military Health Care Provider 3453 Neely Rd, Mcguire Afb, NJ 08641 2009-05-13
1114259876 Gary Alan Friedman Military Health Care Provider 3458 Neely Rd, Mcguire Afb, NJ 08641 2010-02-05
1538399068 Michael Joseph Steiner Military Health Care Provider 3458 Neely Road, Room 1c15 Attn: Smsgt Steiner, Mcguire Afb, NJ 08641 2009-07-17
1790912467 Sarah Jane Laney Military Health Care Provider 3458 Neely Road, Mcguire Afb, NJ 08641 2009-06-19
1508000225 Nicole Pennock Military Health Care Provider 3458 Neely Rd, Mcguire Afb, NJ 08641 2009-04-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528494457 Melissa A Wright Military Health Care Provider 4259d E George St, Trenton, NJ 08641-1275 2013-09-24
1346597994 Terrence Asher Kneapler Military Health Care Provider 125 Adams Ave, Browns Mills, NJ 08015-3831 2012-08-13
1851646020 Kshena Fuentes Military Health Care Provider 210 Canal Cir, Lumberton, NJ 08048-3108 2012-07-13
1871884890 Renee Nichole Snavely Military Health Care Provider 3903a Spaatz Dr, Trenton, NJ 08641-1629 2011-04-25
1043440001 Tamilynn Reese Military Health Care Provider 54 Village Dr, Barnegat, NJ 08005-1671 2009-07-23
1457581704 Jesus Octavio Amador Military Health Care Provider 2305 Saxony Dr, Mount Laurel, NJ 08054-6806 2009-07-21
1841428174 Joseph Nunzio Coyle Military Health Care Provider 5651 Texas Ave., Fort Dix, NJ 08640 2009-06-25
1760617088 Matthew Thompson Military Health Care Provider 84 Dawn Dr, Mount Holly, NJ 08060-1905 2009-05-18
1497989081 Colby J Bowers Military Health Care Provider 5656 Texas Ave, Fort Dix, NJ 08640-5403 2009-05-11
1669022125 Kevin Eustace Military Health Care Provider 1 Essex Ln, Old Bridge, NJ 08857-1406 2019-09-17
Find all providers with the same taxonomy

Competitor

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City MCGUIRE AFB
Zip Code 08641

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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