Organization Active NPI

Ponos Medical Care New Jersey, PC

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1245166289
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PONOS MEDICAL CARE NEW JERSEY, PC
Practice address
1501 Maple Ave Ste 305
Richmond, VA 23226-2553
Phone
(757) 704-1000
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Gilberto Bultron, MD
Title
Owner
Phone
(757) 704-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

1501 Maple Ave Ste 305
Richmond, VA 23226-2553

Mailing address

100 M St SE Ste 600
Washington, DC 20003-3648

National Provider Directory

National Provider Directory

Locations

1501 Maple Ave
Ste 305
Richmond, VA 23226
Phone (757) 271-4874

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1245166289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 M ST SE STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAPLE AVE STE 305",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262553",
            "telephone_number": "757-704-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONOS MEDICAL CARE NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "BULTRON",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-704-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.