Individual provider Active NPI

Rolando Robleza, MD

  • Family Medicine Physician
  • Boonton, NJ
National Provider Identifier
1619998945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA39888 Issued in NJ
Practice address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone
(973) 299-5456
NPI assigned
Jul 21, 2006
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
Family Medicine Physician 207Q00000X MA39888 NJ Primary

Addresses

Primary practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Mailing address

130 Powerville Rd
Boonton, NJ 07005-8705
Phone (973) 299-5456

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
I20040512001236 NJ Practitioner - Family Practice 4385634427 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA39888NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Center for the Chemically Dependent, Inc. CurrentSince Oct 7, 2025 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Oct 1, 2015 Accepting new patients
Huron Pathology Associates PLLC Current Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Oct 1, 2015 Accepting new patients
Doctors at Riverside Past Accepting new patients

Locations

130 Powerville Rd
Boonton Twp, NJ 07005
Phone (973) 316-1800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619998945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-299-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-299-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEZA",
        "first_name": "ROLANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA39888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

Verify at the official NPI Registry.