Nelson Angelo Ballesteros Villanueva, PA-C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MP00930100 Issued in NJ

Practice address

381 Teaneck Rd
Teaneck, NJ 07666-4069

Phone

(201) 366-9817

NPI assigned

May 20, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Synergy Spinecare & Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1093188708
  Medicare reassignment

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1770375230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OAK ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663828",
            "telephone_number": "201-888-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664069",
            "telephone_number": "201-366-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "NELSON ANGELO",
        "middle_name": "BALLESTEROS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MP00930100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danitza M Velazquez, M.D.
• Nicholas A Vero, D.D.S.
• Charles P Vialotti, MD
• Lissette Carolina Villacreses Brito, M.D.
• Eryn Clarise Villanueva
• Raymond Villongco, M.D
• Alexander M Vitievsky, M.D.
• Dina M Vitorino, LPC
• Melba Vittal, MD
• Allison Vogel, MS, RD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.