Active NPI
Rene Frances Ann Hilderbrand, D.O, RPA-C
- Pain Medicine Physician
- Belleville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 25MB09749500
- Practice address
- 15 Newark Ave
Belleville, NJ 07109-1123 - Phone
- (973) 844-9220
- Fax
- (973) 844-9221
- NPI assigned
- Mar 14, 2010
- Last updated
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008820-1 | NY | |
| Family Medicine Physician | 207Q00000X | 252229 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 252229 | NY | |
| Pain Medicine Physician | 208VP0000X | 25MB09749500 | NJ | Primary |
Addresses
Primary practice location
15 Newark Ave
Belleville, NJ 07109-1123
Mailing address
85 Dollard Dr
North Babylon, NY 11703-1513
Phone (516) 287-6087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone (631) 828-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252229 | NY | MD | Physical Medicine & Rehabilitation Physician |
| 25MB09749500 | NJ | MD | Pain Medicine Physician |
| 008820-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenox Hill Pain Management and Spine PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Jersey Rehab PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Jersey Rehab, PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Karan Johar, MD, PLLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
15 Newark Ave
Belleville, NJ 07109
Phone (973) 482-1614
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Port Jefferson Station, NY
- NPI 1073002473
-
- Physical Medicine & Rehabilitation Physician
- Belleville, NJ
- NPI 1629005012
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1063865111
Physical Medicine & Rehabilitation
-
- Interventional Pain Medicine Physician
- Rumson, NJ
- NPI 1629505490
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1063836211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1861716292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 DOLLARD DR",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031513",
"telephone_number": "516-287-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 NEWARK AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071091123",
"telephone_number": "973-844-9220",
"fax_number": "973-844-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDERBRAND",
"first_name": "RENE",
"middle_name": "FRANCES ANN",
"credential": "D.O, RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-14",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008820-1",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "252229",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "252229",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NJ",
"license": "25MB09749500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.