Look up the most recent NPI and PECOS records

Jonathan Val C. Fagel

Family Medicine

Allopathic & Osteopathic Physicians

705 Haddonfield Berlin Rd, Voorhees, NJ 08043-3714

PECOS Enrollment

This provider is enrolled in PECOS as JOHNATHAN VAL FAGEL.

Based on the most recent information from CMS, provider Jonathan Val C. Fagel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1639507510
Provider Type
Individual
Full Name
Fagel, Jonathan Val C.
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/31/2013
Last Updated
6/16/2021

Contact Information

Practice Location

705 Haddonfield Berlin Rd, Voorhees, NJ 08043-3714

(856) 679-0537

Unlisted Fax

Mailing Location

5000 Cox Rd, Glen Allen, VA 23060-9263

(804) 968-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 25MB10210800 New Jersey
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License H0080015 Maryland

Jonathan Val C. Fagel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Blumenthal, Andrew M

Cavallaro Family Practice

Patient First New Jersey Physicians Group Llc

Winfield, Barbara Ann

Montgomery, Catherine P

Kessler, Martin Jay

Soble, Toby K

Green, Holly L

Parayil, Cible Mathulla

Style Family Medicine Assoc Pa