Individual provider Active NPI

Ronald S Englert, D.O.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1053376533
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11014100 Issued in NJ
Practice address
489 5TH Ave
3Rd Floor
New York, NY 10017-6109
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 86377 GA
Family Medicine Physician 207Q00000X 248793 NY
Family Medicine Physician 207Q00000X 40484 CO
Family Medicine Physician 207Q00000X 253612 MA
Family Medicine Physician 207Q00000X V1079 TX
Family Medicine Physician 207Q00000X 25MB11014100 NJ Primary

Addresses

Primary practice location

489 5TH Ave
3Rd Floor
New York, NY 10017-6109

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

15 Exchange Pl Ste 503
Jersey City, NJ 07302-3914
Phone (888) 663-6331

Other identifiers 1

IdentifierTypeStateIssuer
79785522MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, CT, NJ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090302000536 NY Practitioner - Family Practice 9335205277 Reassigns benefits to 2 organizations
I20161205001661 MA Practitioner - Family Practice 9335205277 Reassigns benefits to 1 organization
I20231026002998 CT Practitioner - Family Practice 9335205277 Reassigns benefits to 1 organization
I20250318001875 NJ Practitioner - Family Practice 9335205277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical of Ny PCGroup PAC ID 3274713110, 72 clinicians

Practice addresses (Care Compare)

489 5TH Ave
FL 3
New York, NY 10017-6145
Phone (888) 663-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
248793NYMDPsychiatric/Mental Health Registered Nurse
40484COMDFamily Medicine Physician
86377GAMDFamily Medicine Physician
253612MAMDFamily Medicine Physician
25MB11014100NJMDFamily Medicine Physician
V1079TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Medical Group - Specialty Care, PC Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Aug 23, 2024 Accepting new patients
Montefiore Medical Center Family Medicine CurrentSince Jan 14, 2026 Accepting new patients
Iora Health Massachusetts, P.C. Current Accepting new patients
HHC One Medical, LLC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Aug 23, 2024 Accepting new patients
Meridian Medical Group - Specialty Care, PC CurrentSince Jan 10, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2026 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

104 Heights Rd
Ste R103
Darien, CT 06820

1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970

1070 Iyannough Rd
Ste I10
Hyannis, MA 02601
Phone (508) 948-3400

15 Exchange Pl
Ste 503
Jersey City, NJ 07302
Phone (551) 233-2300

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

111 E 210th St
Bronx, NY 10467

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

489 5th Ave
Fl 3
New York, NY 10017
Phone (212) 440-0658

5 Columbus Cir
Ste 1802
New York, NY 10019
Phone (212) 530-0624

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1053376533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 5TH AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176109",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Exchange Pl Ste 503",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023914",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLERT",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "86377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "248793",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "253612",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V1079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11014100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79785522",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.