Jerry D Mabagos, MD
Jerry D Mabagos is a Pediatrics Physician provider (Pediatrics) practicing in Brick, NJ, registered in the NPPES registry with NPI 1164458451 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164458451 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jerry D Mabagos |
| Credential | MD |
| Sex | Male |
| Practice address | 525 ROUTE 70 STE 1C, Brick, NJ, 08723 |
| Phone | 7322796537 |
| Fax | 7324586356 |
| Enumeration date | 2006-06-25 |
| Last updated in NPPES | 2025-12-29 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | 25MA06682500 | NJ |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8092800 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Jerry Mabagos, MD NPI: 1164458451 Taxonomy: 208000000X (Pediatrics Physician) Address: 525 ROUTE 70 STE 1C, Brick, NJ, 08723
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699748848 | Maria Katsoulis-Emnace | Individual | Pediatrics Physician | Brick, NJ |
Verify this record
Cross-check NPI 1164458451 against the authoritative CMS record: view Jerry D Mabagos on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-29.