Ronald J Poblete, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MA05479500 Issued in NJ

Practice address

289 Market St
Suite 2
Saddle Brook, NJ 07663-6048

Phone

(201) 587-9204

Fax

(201) 587-0623

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Infectious DiseaseAlso: Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Njcri Physicians Group PCGroup PAC ID 4587949961, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19575/brand/1/csg/1/fhir/r4
• Direct secure messaging: ronald.poblete.1@19575.direct.athenahealth.com

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.

• Njcri Physicians Group PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1487100657
  Medicare reassignment Care Compare group NPD
• Poblete Medical Practice, PC

  • Infectious Disease Physician
  • Garfield, NJ
  • NPI 1558546630
  Medicare reassignment Authorized official
• Niccollai Medical Practice

  • Primary Care Clinic/Center
  • Little Falls, NJ
  • NPI 1639259138

  Internal Medicine

  NPD (past)

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

• Prime Healthcare Services - Saint Clare'S LLC

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1598144362
  Care Compare affiliation
• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1740271998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HAMBURG TPKE",
            "address_2": "SUITE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708431",
            "telephone_number": "973-942-5224",
            "fax_number": "973-942-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MARKET ST",
            "address_2": "SUITE 2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636048",
            "telephone_number": "201-587-9204",
            "fax_number": "201-587-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBLETE",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05479500",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05479500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4645405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Peene
• Allyson Petruzziello, APN
• Philip Silverman DO PA
• John R Pinto, DC
• Albert George Plaza, DC
• Points to Health, PC
• Bruce Pomeranz, M.D.
• Adam Popowitz, PT, DPT
• Kim Pozharsky
• Precision Brachy Therapy Associates, LLC

• Infectious Disease Physician in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.