Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790739621 Deactivated / Inactive NPI Male Practitioner

Dr. Stanley L Bagan , MD

Internal Medicine • Bridgeton, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanley Bagan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2006
NPI Deactivation Date December 04, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Bagan, MD was a registered Internal Medicine practicing in Bridgeton, NJ. Throughout an active medical career spanning 13 years, Dr. Bagan provided care at the practice location at 201 LAUREL HEIGHTS DR until profile deactivation on 2019-12-04.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, lipids (cholesterol and triglycerides). Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

201 Laurel Heights Dr

Bridgeton, NJ 083023635

Telephone 8564554800
Fax 8564510650
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bridgeton, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.4 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Bridgeton, NJ (4957 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
229 124 $20.00 $2.94
99213 Established patient office or other outpatient visit, typically 15 minutes
89 68 $90.00 $80.57
80061 Blood test, lipids (cholesterol and triglycerides)
87 72 $45.00 $14.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
82 71 $130.00 $116.45
84443 Blood test, thyroid stimulating hormone (TSH)
73 62 $40.00 $18.30
84436 Thyroxine (thyroid chemical), total
71 61 $12.00 $7.48
84480 Thyroid hormone, t3 measurement, total
71 61 $22.00 $15.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
70 70 $160.00 $126.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
64 54 $20.00 $8.46
93000 Routine ekg using at least 12 leads including interpretation and report
51 51 $70.00 $18.67
83036 Hemoglobin A1C level
42 38 $20.00 $10.57
90662 Influenza vaccine split virus, preservative free
18 18 $55.00 $53.90
G0008 Administration of influenza virus vaccine
18 18 $25.00 $17.98
84153 Psa (prostate specific antigen) measurement, total
14 14 $35.00 $20.03
93880 Ultrasound of both sides of head and neck blood flow
14 14 $350.00 $223.69

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA29710

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Fiore Copare , MD

Internal Medicine

NPI 1205869989

Doctor of Medicine (M.D.)

Jacqueline Rodriguez , FNP-C

Nurse Practitioner - Family

NPI 1295615078

Family Nurse Practitioner (Certified)

Svetlana Babenko , APN

Nurse Practitioner - Family

NPI 1356983860

Advanced Practice Nurse

Dr. John Hatzantonis , MD

Internal Medicine

NPI 1467551374

Doctor of Medicine (M.D.)

Jennifer Garrison , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1477339232

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Courtney Bender , FNP-C

Internal Medicine

NPI 1710402730

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2019

Record deactivated on December 04, 2019

NPI Profile Active November 04, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 04, 2009

Registered at 201 LAUREL HEIGHTS DR, BRIDGETON, NJ 083023635 (Tel: 8564554800)

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Updated Business Mailing Address November 04, 2009

Registered at 201 LAUREL HEIGHTS DR, BRIDGETON, NJ 083023635 (Tel: 8564554800)

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Provider Name / Credentials Updated November 04, 2009

Recorded as STANLEY BAGAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2009

Internal Medicine (License #MA29710 in NJ)

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Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790739621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2006
Last Update: November 04, 2009
Deactivation Date: December 04, 2019

Mailing Address

201 Laurel Heights Dr

Bridgeton, NJ 083023635

Phone: 8564554800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.