Healthcare Provider Details

I. General information

NPI: 1326798489
Provider Name (Legal Business Name): MICHAEL JOSEPH DRAGONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

148 GLEN RD
WOODCLIFF LAKE NJ
07677-7963
US

V. Phone/Fax

Practice location:
  • Phone: 551-370-2220
  • Fax:
Mailing address:
  • Phone: 201-965-9657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA13111500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: