Active NPI
Jaroslaw S Pondo, MD
- Internal Medicine Physician
- Rutherford, NJ
National Provider Identifier
1487665717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07479000
- Practice address
- 71 Union Ave
Suite 107
Rutherford, NJ 07070-1274 - Phone
- (201) 896-0050
- Fax
- (201) 896-0051
- NPI assigned
- Aug 11, 2006
- Last updated
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07479000 | NJ | Primary |
| Pulmonary Disease Physician | 207RP1001X | 25MA07479000 | NJ |
Addresses
Primary practice location
71 Union Ave
Suite 107
Rutherford, NJ 07070-1274
Mailing address
71 Union Ave
Suite 107
Rutherford, NJ 07070-1274
Phone (201) 896-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185540 | Medicaid | NJ |
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
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
71 Union Ave
Suite 107
Rutherford, NJ 07070-1272
Phone (201) 896-0050
Hospital & facility affiliations
- Amedisys Home Health
- Hackensack University Medical Center
- St Joseph's University Medical Center Inc
- Kessler Rehab Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaroslaw S. Pondo, M.D. PC | Internal Medicine | Current | Accepting new patients |
| Anger Family Practice, PLLC | Past | Accepting new patients |
Locations
71 Union Ave
Ste 107
Rutherford, NJ 07070
Phone (201) 896-0050
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.
-
- Internal Medicine Physician
- Rutherford, NJ
- NPI 1417112459
-
- Family Medicine Physician
- Elkins, WV
- NPI 1801050687
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1487665717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"last_name": "PONDO",
"first_name": "JAROSLAW",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07479000",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA07479000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0185540",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.