Provider Demographics
NPI:1154007375
Name:LAGAYADA, JOHN ENGELBERT ARGEL (APN)
Entity type:Individual
Prefix:MR
First Name:JOHN ENGELBERT
Middle Name:ARGEL
Last Name:LAGAYADA
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1668 COPPERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-2193
Mailing Address - Country:US
Mailing Address - Phone:848-448-0746
Mailing Address - Fax:
Practice Address - Street 1:1668 COPPERFIELD LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-2193
Practice Address - Country:US
Practice Address - Phone:848-448-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14864700363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology