NPIMap

Individual provider Active NPI

Ronald D Pallant, MD

  • Surgery Physician
  • Springfield, NJ
National Provider Identifier
1255322376
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30097 Issued in NJ
Practice address
155 Morris Ave
Second Floor
Springfield, NJ 07081-1225
Phone
(973) 232-2300
Fax
(973) 232-2311
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30097 NJ Primary

Addresses

Primary practice location

155 Morris Ave
Second Floor
Springfield, NJ 07081-1225

Mailing address

155 Morris Ave
Second Floor
Springfield, NJ 07081-1225
Phone (973) 232-2300

Other identifiers 1

IdentifierTypeStateIssuer
1992601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000695 NJ Practitioner - General Surgery 6002876455 Practice locations: Elizabeth, NJ; Morristown, NJ; Rahway, NJ

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 1970
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 Williamson St
Trinitas Vascular Lab
Elizabeth, NJ 07202-3625
Phone (908) 994-5000

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30097NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Surgical Group LLC Surgery PastSince Sep 1, 2004 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corro HealthElizabeth, NJ, CCN 310027 Hospital Corporate Director Jun 14, 2013
Trinitas Regional Medical CenterElizabeth, NJ, CCN 31S027 Hospital Corporate Director Jun 14, 2013
Trinitas Regional Medical CenterElizabeth, NJ, CCN 315442 Skilled nursing facility Corporate Director Jun 14, 2013

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1255322376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MORRIS AVE",
            "address_2": "SECOND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811225",
            "telephone_number": "973-232-2300",
            "fax_number": "973-232-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MORRIS AVE",
            "address_2": "SECOND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811225",
            "telephone_number": "973-232-2300",
            "fax_number": "973-232-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLANT",
        "first_name": "RONALD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "30097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.