Individual provider Active NPI

Robert Daniel Jongco, MD

  • Pain Medicine (Anesthesiology) Physician
  • Millburn, NJ
National Provider Identifier
1477848919
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA09710300 Issued in NJ
Practice address
187 Millburn Ave Ste 103
Millburn, NJ 07041-1845
Phone
(973) 467-1466
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA09710300 NJ Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 284933-1 NY

Addresses

Primary practice location

187 Millburn Ave Ste 103
Millburn, NJ 07041-1845

Mailing address

187 Millburn Ave Ste 103
Millburn, NJ 07041-1845
Phone (973) 467-1466

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160912002087 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 4082900402 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

11 Overlook Rd
Summit, NJ 07901-3577
Phone (908) 273-1493

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284933-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Pain Medicine Physicians CurrentSince Aug 1, 2016 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Current Accepting new patients
Practice Associates Medical Group CurrentSince May 1, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients

Locations

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

187 Millburn Ave
Ste 103
Millburn, NJ 07041
Phone (973) 467-1466

284 Millburn Ave
Millburn, NJ 07041
Phone (973) 912-7273

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

10 Plum St
Fl 4
New Brunswick, NJ 08901
Phone (732) 235-8727

10 Plum St
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 5123
New Brunswick, NJ 08901
Phone (732) 235-7246

1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

125 Paterson St
#5100
New Brunswick, NJ 08901
Phone (732) 235-6512

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137

66 W Gilbert St
Ste 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: rjongco521104@direct.ahsys.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1477848919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE STE 103",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411845",
            "telephone_number": "973-467-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE STE 103",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411845",
            "telephone_number": "973-467-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONGCO",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09710300",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "284933-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.