Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1699835744 Deactivated / Inactive NPI Male Practitioner

Dr. Earl J. Fleegler , MD

Surgery - Plastic and Reconstructive Surgery • Newark, 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. Earl Fleegler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2006
NPI Deactivation Date September 16, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Earl Fleegler, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Newark, NJ. Throughout an active medical career spanning 13 years, Dr. Fleegler provided care at the practice location at 90 BERGEN ST until profile deactivation on 2019-09-16.

Practice Location & Contact Primary Location

Practice Address

90 Bergen St
Doc 7200

Newark, NJ 071032425

Telephone 9739728071
Fax 9739728268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Newark, NJ (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License NJ 25MA08143700

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Edward Lee , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1629265657

Doctor of Medicine (M.D.)

Dr. Frank Ciminello , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1699746875

Doctor of Medicine (M.D.)

Dr. Nikita Shulzhenko , MD

Student in an Organized Health Care Education/Training Program

NPI 1780143503

Doctor of Medicine (M.D.)

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 September 16, 2019

Record deactivated on September 16, 2019

NPI Profile Active August 21, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2009

Registered at 90 BERGEN ST, DOC 7200, NEWARK, NJ 071032425 (Tel: 9739728071)

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Updated Business Mailing Address August 21, 2009

Registered at 30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 071073000

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Provider Name / Credentials Updated August 21, 2009

Recorded as EARL FLEEGLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2009

Surgery (License #25MA08143700 in NJ)

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Initial NPI Registration & Enumeration December 11, 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: 1699835744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: August 21, 2009
Deactivation Date: September 16, 2019

Mailing Address

30 Bergen St, Admc 12 1205

Newark, NJ 071073000

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.