RNR Regenerative Therapeutics LLC

Key facts

NPI: 1003630179
Entity type: Organization (NPI type 2)
Primary specialty: Maternal & Fetal Medicine Physician 207VM0101X
Legal business name: RNR REGENERATIVE THERAPEUTICS LLC
Practice address: 23 Mary LN
Waldwick, NJ 07463-1010
Phone: (301) 524-8623
NPI assigned: Nov 14, 2024
Organization subpart: No

Authorized official

Name: Jonathan Hodor NPI 1720029366
Title: Ceo/President
Phone: (301) 524-8623

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jonathan Gary Hodor, DO Maternal & Fetal Medicine Physician · Bethesda, MD · NPI 1720029366

Medicare reassignment NPD Authorized official MATERNAL & FETAL MEDICINE · NJ
Betsy Jean-Louis, FNP-BC, APN-C Family Nurse Practitioner · Belleville, NJ · NPI 1336677640

Medicare reassignment NPD NJ

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20241220002759	NJ	Part B Supplier - Clinic/Group Practice	3779010327	Receives reassigned benefits from 2 practitioners Practice locations: Waldwick, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Maternal & Fetal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207VM0101X			Yes

Addresses

Primary practice location

23 Mary LN
Waldwick, NJ 07463-1010

Mailing address

7400 Nevis Rd
Bethesda, MD 20817-4740
Phone (301) 524-8623

Other providers in Waldwick, NJ

Joseph M Riccobono, OTR/L
Richard Auletta, PH.D. Family Counseling Center, P.a.
Elaine Richer, RPH
Rickard Rehabilitation Services, Inc.
Rite Aid Pharmacy
Kyle Robertson, DC
Alisa Robinson, PH.D.
Irique Robinson, RN
Shannon Marie Ross, FNP
Devraj Roy, DPT

All providers in Waldwick, NJ · Maternal & Fetal Medicine Physician in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.