Fredrick Poblete, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA08013900 Issued in NJ

Practice address

1601 Whitehorse Mercerville Rd
Suite 2
Trenton, NJ 08619-3821

Phone

(609) 586-1313

Fax

(609) 584-9227

NPI assigned

Jun 29, 2006

Last updated

Apr 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Poblete Associates, P.a.

  • Surgery Physician
  • Trenton, NJ
  • NPI 1043247398
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Robert Wood Johnson University Hospital at Hamilton

  • General Acute Care Hospital
  • Hamilton, NJ
  • NPI 1629069638
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1508894247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 2",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193821",
            "telephone_number": "609-586-1313",
            "fax_number": "609-584-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 2",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193821",
            "telephone_number": "609-586-1313",
            "fax_number": "609-584-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBLETE",
        "first_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08013900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102491",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiersten M Plath, LCSW
• Stephen F Platt, PHARM.D.
• Natalia Plotskaya, M.D.
• Poblete Associates, P.a.
• Estrella M Poblete, MD
• Honesto Nazareno Poblete, M.D.
• Dmitriy Podlog
• Anastasiia Polianovskaia, MD
• Nicholas F Polk, PROFESSIONAL CLINICA
• Anthony Polombo Jr., DO

• Surgery Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.

Verify at the official NPI Registry.