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Ralph Samuel Dagostino, MD

Internal Medicine in Harrison, NJ. Individual provider (NPI-1).

NPI number1790798437
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1790798437
Entity type
Individual (NPI-1)
Name
Ralph Samuel Dagostino
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 14, 2006
Last updated
Mar 7, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine031348NJYes

Practice location

450 Bergen St
Harrison, NJ 07029

Phone 973-484-6900 · Fax 973-484-0029

Mailing address

450 Bergen St
Harrison, NJ 07029

Phone 973-484-6900 · Fax 973-484-0029

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Harrison, NJ

All 5 Internal Medicine Physician providers in Harrison · All 143 providers in Harrison

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