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Deactivated NPI 1336290980 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Robert Dugo , DC

Chiropractor • Staten Island, NY

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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. Jack Dugo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2007
NPI Deactivation Date March 12, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Dugo, DC was a registered Chiropractor practicing in Staten Island, NY. Throughout an active medical career spanning 19 years, Dr. Dugo provided care at the practice location at 4131 RICHMOND AVE until profile deactivation on 2026-03-12.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4131 Richmond Ave

Staten Island, NY 103125633

Telephone 7189840024
Fax 7189844036
Associated Practice Facility / Clinic
🏢 The Speech Zone, Slp Pllc Facility NPI 1447443759

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Staten Island, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.1 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
98 Specialists

Practicing in Staten Island, NY (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.5% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
527 45 $43.67 $30.37

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NY X002946-1

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

27 Associated Practitioners
Kathleen Mulcahy , MA CCC-SLP

Speech-Language Pathologist

NPI 1063652006

MACCCSLP

Irina Tolkacheva

Behavior Analyst

NPI 1144062480
Yekaterina Magras , OTR, L

Occupational Therapist

NPI 1164747002

Occupational Therapist Registered, L

NPI 1215423157
Lynda Cosares

Behavior Analyst

NPI 1245011576
NPI 1346719952

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

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Updated Practice Location October 18, 2023

Registered at 4300 HYLAN BLVD, STATEN ISLAND, NY 103126507 (Tel: 1718984002)

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Updated Business Mailing Address October 18, 2023

Registered at 4300 HYLAN BOULEVARD, STATEN ISLAND, NY 103126501 (Tel: 7189840024)

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 13, 2016

Registered at 4131 RICHMOND AVE, STATEN ISLAND, NY 103125633 (Tel: 7189840024)

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Updated Business Mailing Address June 13, 2016

Registered at 4131 RICHMOND AVENUE, STATEN ISLAND, NY 103126501 (Tel: 7189840024)

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Provider Name / Credentials Updated June 13, 2016

Recorded as JACK DUGO, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Chiropractor (License #X002946-1 in NY)

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Initial NPI Registration & Enumeration January 12, 2007

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: 1336290980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: June 13, 2016
Deactivation Date: March 12, 2026

Mailing Address

4131 Richmond Avenue

Staten Island, NY 103126501

Phone: 7189840024

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.