Individual provider Active NPI

Pedro Gonzalo Roblejo Sr., MD

  • Urology Physician
  • West New York, NJ
National Provider Identifier
1568542249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Practice address
5910 Palisade Ave
West New York, NJ 07093-2112
Phone
(201) 868-0821
Fax
(201) 868-0160
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NJ Primary

Addresses

Primary practice location

5910 Palisade Ave
West New York, NJ 07093-2112

Mailing address

5910 Palisade Ave
West New York, NJ 07093-2112
Phone (201) 868-0821

Other identifiers 2

IdentifierTypeStateIssuer
P43822794OtherMULTIPLAN
96238OtherNYEMPIRE BC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080115000624 NJ Practitioner - Urology 5698856730 Practice locations: West New York, NJ

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5910 Palisade Ave
West New York, NJ 07093-2112
Phone (201) 868-0821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO2346000NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Peter C Roblejo MD Past Accepting new patients
Pedro G Roblejo MD Urology PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pedro.roblejo@direct.christhospital.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568542249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 PALISADE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932112",
            "telephone_number": "201-868-0821",
            "fax_number": "201-868-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 PALISADE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932112",
            "telephone_number": "201-868-0821",
            "fax_number": "201-868-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEJO",
        "first_name": "PEDRO",
        "middle_name": "GONZALO",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P43822794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "96238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.