NPIMap

Individual provider Active NPI

Alexander Rondon, MD

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1548757255
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
323260 Issued in NY
Practice address
622 W 168TH St PH 11-1122
New York, NY 10032-3720
Phone
(212) 305-8188
NPI assigned
Apr 18, 2018
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA11853700 NJ
Orthopaedic Surgery Physician 207X00000X 323260 NY Primary

Addresses

Primary practice location

622 W 168TH St PH 11-1122
New York, NY 10032-3720

Mailing address

622 W 168TH St PH 11-1122
New York, NY 10032-3720
Phone (212) 305-8188

Other practice location 1

925 Chestnut St Fl 5
Philadelphia, PA 19107-4206
Phone (267) 339-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240812003172 CT Practitioner - Orthopedic Surgery 2365793205 Reassigns benefits to 1 organization
I20240927000724 MA Practitioner - Orthopedic Surgery 2365793205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Daryle a Ruark MD Orthopedic Surgeon PCGroup PAC ID 7719969310, 3 clinicians
Advanced Orthopedics New EnglandGroup PAC ID 9335108547, 19 clinicians

Practice addresses (Care Compare)

299 Carew St
Suite 409
Springfield, MA 01104-2361
Phone (413) 788-7321

35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11853700NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics New England Orthopaedic Surgery CurrentSince Jul 31, 2024 Accepting new patients
Advanced Orthopedics New England CurrentSince Jul 31, 2024 Accepting new patients

Locations

35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000

1000 Asylum Ave
Ste 2126
Hartford, CT 06105
Phone (860) 242-3000

224 Hartford Tpke
Vernon Rockvl, CT 06066
Phone (860) 871-6939

Interoperability endpoints

  • Direct secure messaging: alexander.rondon.1@27677.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1548757255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST PH 11-1122",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST PH 11-1122",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Chestnut St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074206",
            "country_code": "US",
            "telephone_number": "267-339-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONDON",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA11853700",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "323260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.