Jaroslaw S. Pondo, M.D. PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07479000 Issued in NJ

Legal business name

JAROSLAW S. PONDO, M.D. PC

Practice address

71 Union Ave
Suite 107
Rutherford, NJ 07070-1274

Phone

(201) 896-0050

Fax

(201) 896-0051

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Jaroslaw S Pondo, M.D.NPI 1487665717

Title

Owner

Phone

(201) 896-0050

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaroslaw S Pondo, MD

  • Internal Medicine Physician
  • Rutherford, NJ
  • NPI 1487665717
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1417112459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MORTIMER AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701615",
            "telephone_number": "201-935-2087",
            "fax_number": "201-935-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 UNION AVE",
            "address_2": "SUITE 107",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701274",
            "telephone_number": "201-896-0050",
            "fax_number": "201-896-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAROSLAW S. PONDO, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "PONDO",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-896-0050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07479000",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA07479000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bakhtaver Irani, MD
• Francis Isola, PT
• David L Isralowitz, MD
• Kim M Janeck, PT
• Mary-Louise Jannicelli-Clare, P.T.
• Kathleen Laura Jedruszczuk, DO
• Jill Jefferys
• Jennifer Layne Acupuncture and Wellness LLC
• Jiraaj LLC
• Rikita Jodhani, DMD

• Internal Medicine Physician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.