Individual provider Active NPI

Ferdinand Pontejos

  • Family Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1710500780
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01031500 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(551) 996-2000
NPI assigned
May 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01031500 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

228 Capri Ter
Park Ridge, NJ 07656-2440
Phone (201) 259-0038

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Ferdinand.Pontejos@hackensackmeridian.org Direct
Direct Messaging Address Ferdinand.Pontejos@hackensackmeridian.org Direct
Direct Messaging Address Ferdinand.Pontejos@hackensackmeridian.org Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918002361 NJ Practitioner - Nurse Practitioner 5496161556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 332
Hackensack, NJ 07602-0332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01031500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keypoint Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
18-Medical Partners LLC PastSince Oct 27, 2024 Accepting new patients
Brandon Howard MD LLC Past Accepting new patients

Locations

5 Summit Ave
Ste 106
Hackensack, NJ 07601
Phone (201) 336-0095

Interoperability endpoints

  • Direct secure messaging: ferdinand.pontejos@hackensackmeridian.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1710500780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CAPRI TER",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076562440",
            "telephone_number": "201-259-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-996-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTEJOS",
        "first_name": "FERDINAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01031500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ferdinand.Pontejos@hackensackmeridian.org",
            "affiliation": "N",
            "endpointDescription": "HUMC email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Prospect Ave",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076011915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ferdinand.Pontejos@hackensackmeridian.org",
            "affiliation": "N",
            "endpointDescription": "HUMC email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Prospect Ave",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076011915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ferdinand.Pontejos@hackensackmeridian.org",
            "affiliation": "N",
            "endpointDescription": "HUMC EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Prospect Ave",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076011915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.