Individual provider Active NPI

Rhonda Ann Hagler, M.D.

  • Internal Medicine Physician
  • Lyndhurst, NJ
National Provider Identifier
1487666202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA49576 Issued in NJ
Practice address
30 Park Ave
Lyndhurst, NJ 07071-1000
Phone
(201) 438-5900
Fax
(201) 438-5980
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA49576 NJ Primary

Addresses

Primary practice location

30 Park Ave
Lyndhurst, NJ 07071-1000

Mailing address

124 South Ter
Boonton, NJ 07005-2310

Other identifiers 1

IdentifierTypeStateIssuer
1621602MedicaidNJ

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
I20051010000653 NJ Practitioner - Internal MedicinePractitioner - Addiction Medicine 8123043072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Rutgers New Jersey Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Park Avenue Medical Associates, PAGroup PAC ID 7618922196, 3 clinicians

Practice addresses (Care Compare)

30 Park Ave
Suite 202
Lyndhurst, NJ 07071-1000
Phone (201) 438-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA49576NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Aug 9, 2025 Accepting new patients
Khaleidoscope Health Care Inc. CurrentSince Mar 3, 2010 Accepting new patients
City of East Orange CurrentSince Jan 1, 1987 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

127 Lafayette St
Jersey City, NJ 07304
Phone (201) 434-1111

75 Harrison Ave
Jersey City, NJ 07304
Phone (201) 333-0094

30 Park Ave
Ste 202
Lyndhurst, NJ 07071
Phone (201) 438-5900

175 High St
Newton, NJ 07860
Phone (973) 383-2121

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487666202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SOUTH TER",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070052310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711000",
            "telephone_number": "201-438-5900",
            "fax_number": "201-438-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLER",
        "first_name": "RHONDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA49576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.