Individual provider Active NPI

Carlo L Rondina, M.D.

  • Diagnostic Radiology Physician
  • Freehold, NJ
National Provider Identifier
1528086444
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04584700 Issued in NJ
Practice address
901 W Main St
Medical Arts Building
Freehold, NJ 07728-2537
Phone
(732) 462-3302
Fax
(732) 780-6213
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Xra, P.a. Diagnostic Radiology Past Accepting new patients
Hudson MD Group Past Accepting new patients
Xra, P.a. Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crondina425425@direct.ahsys.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA04584700 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

901 W Main St
Medical Arts Building
Freehold, NJ 07728-2537

Mailing address

1001 W Main St
Freehold, NJ 07728-2579
Phone (732) 462-3302

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
6927009MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2008.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1528086444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDINA",
        "first_name": "CARLO",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04584700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6927009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.