Active NPI
Raelene Rubillos Ladaga, M.D.
- Psychiatry Physician
- Pomona, NY
National Provider Identifier
1467543827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 225918
- Practice address
- 978 Route 45 Ste 100
Pomona, NY 10970-3512 - Phone
- (914) 275-5462
- Fax
- (845) 675-5067
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 225918 | NY | Primary |
Addresses
Primary practice location
978 Route 45 Ste 100
Pomona, NY 10970-3512
Mailing address
978 Route 45 Ste 100
Pomona, NY 10970-3512
Phone (914) 275-5462
Other practice location 1
18 Church St
Nyack, NY 10960-3108
Phone (845) 358-1677 ext. 305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225918 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120614000156 | NY | Practitioner - Psychiatry | 1355505785 | Practice locations: Haverstraw, NY; Nanuet, NY; Pomona, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22 Cartwright Rd
Stony Point, NY 10980-1726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raelene Ladaga | Past | Accepting new patients | |
| Rockland Psychiatric Center | Past | Accepting new patients |
Interoperability endpoints
- rladaga@hiemail.healtheconnections.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Haverstraw, NY
- NPI 1265799175
-
- Psychiatric Hospital
- Nyack, NY
- NPI 1578654000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1467543827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 ROUTE 45 STE 100",
"city": "POMONA",
"state": "NY",
"postal_code": "109703512",
"telephone_number": "914-275-5462",
"fax_number": "845-675-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 ROUTE 45 STE 100",
"city": "POMONA",
"state": "NY",
"postal_code": "109703512",
"telephone_number": "914-275-5462",
"fax_number": "845-675-5067"
}
],
"practiceLocations": [
{
"address_1": "18 Church St",
"address_purpose": "LOCATION",
"city": "Nyack",
"state": "NY",
"postal_code": "109603108",
"country_code": "US",
"telephone_number": "845-358-1677 x305",
"fax_number": "845-358-3640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADAGA",
"first_name": "RAELENE",
"middle_name": "RUBILLOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "225918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "225918",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.