Individual provider Active NPI

Hazel D Rovno, MD

  • Diagnostic Radiology Physician
  • Trenton, NJ
National Provider Identifier
1386677680
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05931600 Issued in NJ
Practice address
5 Indian Run
Trenton, NJ 08648-1082
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD062685L PA
Diagnostic Radiology Physician 2085R0202X 25MA05931600 NJ Primary

Addresses

Primary practice location

5 Indian Run
Trenton, NJ 08648-1082

Mailing address

5 Indian Run
Lawrenceville, NJ 08648-1082
Phone (908) 229-4060

Other names 1

  • Hazel Diane Sarah Rovno Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040426001473 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3678560455 Reassigns benefits to 3 organizations
I20110316000878 PA Practitioner - Diagnostic Radiology 3678560455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic Health Services Professional Association, IncGroup PAC ID 3577813005, 67 clinicians

Practice addresses (Care Compare)

348 Waterloo Blvd
Unit 406
Exton, PA 19341-2668
Phone (908) 229-4060

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05931600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Jun 26, 2024 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2015 Accepting new patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Imaging Consultants of Essex, P.a. Diagnostic Radiology Past Accepting new patients
Ashland Radiology Consultants Inc Diagnostic Radiology PastSince Sep 12, 2017 Accepting new patients
Hillsborough Radiology Centers, LLC Diagnostic Radiology PastSince Dec 1, 2016 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Hillsborough Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Imaging Associates PA Diagnostic Radiology Past Accepting new patients
Cranford Diagnostic Imaging PA Diagnostic Radiology Past Accepting new patients
Associated Radiologists PA Diagnostic Radiology Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1386677680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INDIAN RUN",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481082",
            "telephone_number": "908-229-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDIAN RUN",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086481082",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVNO",
        "first_name": "HAZEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD062685L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05931600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL",
            "last_name": "ROVNO",
            "middle_name": "DIANE SARAH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.