Individual provider Active NPI

Robert A Villegas, M.D.

  • Anesthesiology Physician
  • Maywood, NJ
National Provider Identifier
1508885534
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08090300 Issued in NJ
Practice address
130 W Pleasant Ave
Suite334
Maywood, NJ 07607-1335
Phone
(201) 957-1090
NPI assigned
Jul 19, 2006
Last updated
May 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME50505 FL
Anesthesiology Physician 207L00000X 25MA08090300 NJ Primary

Addresses

Primary practice location

130 W Pleasant Ave
Suite334
Maywood, NJ 07607-1335

Mailing address

130 W Pleasant Ave
Suite334
Maywood, NJ 07607-1335
Phone (201) 957-1090

Other identifiers 2

IdentifierTypeStateIssuer
062262100MedicaidFL
0135160MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070616000016 NJ Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9133226715 Reassigns benefits to 7 organizations
I20120330000031 NY Practitioner - Cardiovascular Disease (Cardiology) 9133226715 Reassigns benefits to 1 organization
I20250408002328 SC Practitioner - Anesthesiology 9133226715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Anesthesia, LLCGroup PAC ID 6103924014, 91 clinicians
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME50505FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC CurrentSince Mar 15, 2022 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Tidelands Anesthesia Group LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Feb 3, 2025 Accepting new patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Medical Group of New York, P.C. CurrentSince Mar 1, 2022 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 21, 2026 Accepting new patients
New Jersey Anesthesia Services LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
New York Gastroenterology Associates LLP Past Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology Past Accepting new patients
Anesco North Broward LLC Anesthesiology Past Accepting new patients
Rahway Anesthesiologists, PA Past Accepting new patients
Yorkville Medical Associates PLLC Anesthesiology Past Accepting new patients

Locations

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

433 Hackensack Ave
Ste LL01
Hackensack, NJ 07601
Phone (201) 527-6800

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1508885534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PLEASANT AVE",
            "address_2": "SUITE334",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071335",
            "telephone_number": "201-957-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W PLEASANT AVE",
            "address_2": "SUITE334",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071335",
            "telephone_number": "201-957-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME50505",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08090300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062262100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135160",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.