Robert U Mmereole, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25M09692300 Issued in NJ

Practice address

6101 Kennedy Blvd E
Ste 1
West New York, NJ 07093-3902

Phone

(412) 607-5450

Fax

(201) 448-2804

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Family Practice

Education

Howard University College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
• Hoboken University Medical Center Tcu Nursing home, Hoboken, NJ, CCN 315512

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.mmereole.1@15956.direct.athenahealth.com
• Direct secure messaging: robert.mmereole@direct.hobokenumc.md

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.

• Robert Mmereole,LLC

  • Family Medicine Physician
  • West New York, NJ
  • NPI 1588105910
  Medicare reassignment
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD
• Hospitalist Medicine Physicians of Albany County, PLLC

  • Internal Medicine Physician
  • Albany, NY
  • NPI 1578502498
  NPD (past)

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

• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  Care Compare affiliation
• Humc Opco, LLC

  • Skilled Nursing Facility
  • Hoboken, NJ
  • NPI 1790059947

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1669615308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 KENNEDY BLVD E",
            "address_2": "STE 1",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933902",
            "telephone_number": "412-607-5450",
            "fax_number": "901-383-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 KENNEDY BLVD E",
            "address_2": "STE 1",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933902",
            "telephone_number": "412-607-5450",
            "fax_number": "201-448-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MMEREOLE",
        "first_name": "ROBERT",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257207",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25M09692300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley S Miller, D.M.D
• Omar Hasan Miqbel
• Dinesh R Mirpuri, OTR/L
• Stephanie Mitchell, LMT
• Paulina Mmereole, APN
• Monica Barrientos MD LLC
• Dwight Randolph Montfort, RPH.
• Cynthia Montilla, LMT
• Harris Ira Moore, D.C.
• Indira Morales, SLP

• Family Medicine Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.