Maria Veronica R Abello-Poblete, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA08785500 Issued in NJ

Practice address

1601 Whitehorse Mercerville Rd
Suite 2
Mercerville, NJ 08619-3836

Phone

(609) 838-9040

Fax

(609) 838-9042

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Maria Veronica Roman Abello Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poblete Dermatology LLCGroup PAC ID 5597986513, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.66 of 100Reported as individual

Quality

87.32

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Poblete Dermatology LLC

  • Dermatology Physician
  • Mercerville, NJ
  • NPI 1013322932
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1366694416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WHITEHORSE MERCERVILLE RD",
            "address_2": "COMBS FARM",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193836",
            "telephone_number": "609-371-0669",
            "fax_number": "609-584-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 2",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193836",
            "telephone_number": "609-838-9040",
            "fax_number": "609-838-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLO-POBLETE",
        "first_name": "MARIA",
        "middle_name": "VERONICA R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08785500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240478",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA VERONICA",
            "last_name": "ABELLO",
            "middle_name": "ROMAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dermatology Physician in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.

Verify at the official NPI Registry.