Active NPI
Carlo L Rondina, M.D.
- Diagnostic Radiology Physician
- Freehold, NJ
National Provider Identifier
1528086444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA04584700
- 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.
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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
- crondina425425@direct.ahsys.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA04584700 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6927009 | Medicaid | NJ |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.