Sergey Rybalov, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA07049400 Issued in NJ

Practice address

369 W Blackwell St
Dover, NJ 07801-2560

Phone

(973) 361-7660

Fax

(973) 361-0455

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Gastroenterology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gastroenterology Assoc. of North JerseyGroup PAC ID 2567465214, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
• Newton Medical Center Hospital, Newton, NJ, CCN 310028
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

Merit-based Incentive Payment System (MIPS)

Final score

24.41 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Gastroenterology Assoc. of North Jersey

  • Gastroenterology Physician
  • Dover, NJ
  • NPI 1477599322
  Medicare reassignment Care Compare group NPD
• Ambulatory Surgical Center of Morris County LLC

  • Ambulatory Surgical Clinic/Center
  • Cedar Knolls, NJ
  • NPI 1902877715
  NPD (past)

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

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419
  Care Compare affiliation
• Ahs Hospital Corp

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Prime Healthcare Services - Saint Clare'S LLC

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1598144362
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386670552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-361-7660",
            "fax_number": "973-361-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-361-7660",
            "fax_number": "973-361-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBALOV",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07049400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074284",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraham H Rosenzweig, MD
• Anya Rossinskaya
• David Irwin Rubinfeld, M.D.
• Lisa Ann Ruml, M.D.
• Jennifer M Russell, APN
• Vicki Lynn Sadewitz, MS
• Olivia Katherine Saez
• Saint Clare'S Community Health Center
• Saint Clare'S Hospital Inc.
• Saint Clare'S Hospital Pediatric Neurology Clinic

• Gastroenterology Physician in Dover, NJ
• Providers in Dover, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.