DINO NICOL E. DEJESUS


Address: 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174
Phone: 9086843005

DINO NICOL E. DEJESUS (NPI# 1639298581) 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) 1639298581
Entity Type Individual
Full Name DINO NICOL E. DEJESUS
Credential DO
Practice Address 108 Bilby Rd
Suite 201
Hackettstown
NJ 07840-4174
Practice Telephone 9086843005
Practice Fax Number 9086843301
Mailing Telephone 9086843005
Mailing Fax Number 9086843301
Enumeration Date 2007-03-29
Last Update Date 2016-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
25MB07828100 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ HORIZON NJ HEALTH 60042586 01
FL AVMED 310401 01
NJ OXFORD P3947633 01
FL BLUE CROSS/BLUE SHIELD 96156 01
NJ AETNA 1899455/9558120 01
NJ HEALTHNET 3K8753 01
FL 27845300-0 05
NJ 0172014 05
NJ AMERIHEALTH 3551981000 01
NJ UNIVERSITY HEALTH PLAN 46931 01
NJ CIGNA 8107063 01
FL RAILROAD MEDICARE P00459920 01
NJ AMERICHOICE 010046637 01
FL CIGNA 8107063 01

Office Location

Street Address 108 BILBY RD
SUITE 201
City HACKETTSTOWN
State NJ
Zip Code 07840-4174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316943012 Paul Gregory Teja Orthopaedic Surgery 108 Bilby Rd, Ste. 201, Hackettstown, NJ 07840-4174 2005-06-27
1790221125 Andrew Pfleger Physician Assistant 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2017-01-09
1609311398 North Jersey Sports Medicine and Orthopedic Center Physician Assistant 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2017-01-04
1568912301 Joshua Haggan Physical Therapist 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2016-10-05
1346667342 Kevin Kear Orthopaedic Surgery 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2014-03-27
1205264892 Michael Gundell Physician Assistant 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2013-10-17
1336572056 Advocare, LLC Otolaryngology 108 Bilby Rd, Ste 301, Hackettstown, NJ 07840-4174 2013-08-16
1730427030 Natural Image Skin Center Dermatology 108 Bilby Rd, Suite 202, Hackettstown, NJ 07840-4174 2013-01-21
1154669513 Daniel Alexander Rodriguez Emergency Medical Technician, Basic 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2013-01-19
1912243270 Ear, Nose, & Throat Medical Associates, Pa Otolaryngology 108 Bilby Rd, Suite 301, Hackettstown, NJ 07840-4174 2012-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740891894 Amanda Kucevic Assistant Behavior Analyst 514 Moore Street, Hackettstown, NJ 07840 2020-08-12
1922571165 Laura Montenegro Social Worker 3155 State Highway Route 10, Denville, NJ 07840 2019-01-10
1619447240 Melissa Matturri Pharmacist 2045 Nj-57, Hackettstown, NJ 07840 2018-11-27
1164906806 Best Choice Home Care Limited Liability Company Home Health 210a Goldfinch Court, Hackettstown, NJ 07840 2018-09-19
1003398405 Qua Creative Kidz Voluntary or Charitable 707 Allen Rd, Hackettstown, NJ 07840 2018-08-31
1639669153 Daniel A Jodexnis Jr. Counselor 112 East Ave Ste 9, Hackettstown, NJ 07840 2018-05-10
1649779489 Advancing Opportunities, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 2018-02-07
1902305717 Advancing Opportunities, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 2018-02-07
1538681473 Sara Victoria Monk Dietitian, Registered 900 E Prospect Street, Hackettstown, NJ 07840 2017-07-12
1811426422 Heather Mooneyhan Nurse Practitioner 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 2017-06-07
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831325166 John M Dundon Orthopaedic Surgery 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 2009-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275924904 North Jersey Orthopedic Sports Trauma Institute E LLC Orthopaedic Surgery 15-01 Broadway Ste 20, Fair Lawn, NJ 07410-6003 2015-02-17
1013197482 Mercer Bucks Orthopaedics, P.C. Orthopaedic Surgery 111 Union Valley Road, Suite 102, Monroe Township, NJ 08831-6000 2007-11-13
1104021427 Thomas Karoor John Orthopaedic Surgery 25 Prospect Ave., Hackensack, NJ 07601 2007-06-18
1518001072 Michael G Absatz Orthopaedic Surgery 44 Musket Ln, Eatontown, NJ 07724-2448 2007-02-17
1801990361 Christopher Edward Selgrath Orthopaedic Surgery 1225 Whitehorse Mercerville Rd Ste 220, Mercerville, NJ 08619 2006-09-12
1760593404 Alfred J Tria Jr. Orthopaedic Surgery 1527 State Highway 27, Ste 1300, Somerset, NJ 08873 2006-08-31
1891714903 Metropolitan Orthopaedics LLC Orthopaedic Surgery 17 Jauncey Ave, N Arlington, NJ 07031-4700 2006-07-19
1013944859 David George Nazarian Orthopaedic Surgery 999 Route 73 N Ste 301, Marlton, NJ 08053-1227 2006-06-27
1407851355 Donald R. Polakoff Orthopaedic Surgery 111 Union Valley Rd, Suite 102, Monroe, NJ 08831-6000 2005-06-16
1972508240 Nicholas Alexander Orthopaedic Surgery 400 Franklin Tpke, Ste 100, Mahwah, NJ 07430-3517 2005-06-14
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Competitor

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City HACKETTSTOWN
Zip Code 07840

Improve Information

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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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