Individual provider Active NPI

Ronald P. Pelletier, M.D.

  • Transplant Surgery Physician
  • New Brunswick, NJ
National Provider Identifier
1770538258
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
25MA10296500 Issued in NJ
Practice address
10 Plum St FL 7
New Brunswick, NJ 08901-2066
Phone
(732) 253-3360
Fax
(732) 253-3476
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA10296500 NJ
Transplant Surgery Physician 204F00000X 35058355 OH
Transplant Surgery Physician 204F00000X 25MA10296500 NJ Primary

Addresses

Primary practice location

10 Plum St FL 7
New Brunswick, NJ 08901-2066

Mailing address

10 Plum St FL 7
New Brunswick, NJ 08901-2066
Phone (732) 253-3360

Other identifiers 1

IdentifierTypeStateIssuer
0249645MedicaidOH

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
I20180509002259 NJ Practitioner - General Surgery 9830151299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928

10 Plum St
New Brunswick, NJ 08901-2066
Phone (732) 235-5530

125 Paterson St
New Brunswick, NJ 08901-1962

Rutgers Health-RWJ Neurosurgery
Suite 2200
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Dec 26, 2022 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Apr 1, 2018 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Dec 26, 2022 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
Fl 7
New Brunswick, NJ 08901
Phone (732) 253-3360

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

Interoperability endpoints

  • Direct secure messaging: rpelletier15062@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1770538258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLUM ST FL 7",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012066",
            "telephone_number": "732-253-3360",
            "fax_number": "732-253-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLUM ST FL 7",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012066",
            "telephone_number": "732-253-3360",
            "fax_number": "732-253-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "RONALD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10296500",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "OH",
            "license": "35058355",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NJ",
            "license": "25MA10296500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.