Active NPI
Khristine Orlanes Ronquillo, RN, BSN, MSN, ACNP
- Acute Care Nurse Practitioner
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00165100
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-1288
- NPI assigned
- Dec 4, 2008
- Last updated
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F430434 | NY | |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00165100 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877
Other practice location 1
177 Fort Washington Ave
Milstein Hospital 7GN- Rm 435
New York, NY 10032-3733
Phone (212) 342-3892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3084604 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045
350 Engle St
5 Main
Englewood, NJ 07631-1808
Phone (201) 894-3636
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F430434 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Current | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
350 Engle St
#5
Englewood, NJ 07631
Phone (201) 894-3364
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Surgery Physician
- New Brunswick, NJ
- NPI 1083738637
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1114162203",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-1288"
}
],
"practiceLocations": [
{
"address_1": "177 Fort Washington Ave",
"address_2": "Milstein Hospital 7GN- Rm 435",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323733",
"country_code": "US",
"telephone_number": "212-342-3892",
"fax_number": "212-342-5262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RONQUILLO",
"first_name": "KHRISTINE",
"middle_name": "ORLANES",
"credential": "RN, BSN, MSN, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F430434",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00165100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084604",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.