Active NPI
Robert Daniel Jongco, MD
- Pain Medicine (Anesthesiology) Physician
- Millburn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA09710300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- 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 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
- Morristown Medical Center
- Kessler Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284933-1 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Pain Medicine Physicians | Current | Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | 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
- rjongco521104@direct.ahsys.org
- 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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Interventional Pain Medicine Physician
- Millburn, NJ
- NPI 1477815504
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New Brunswick, NJ
- NPI 1346322732
-
- Internal Medicine Physician
- New Brunswick, NJ
- NPI 1992887012
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Medical Oncology Physician
- New Brunswick, NJ
- NPI 1518904929
-
- Radiation Oncology Physician
- New Brunswick, NJ
- NPI 1942249909
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.