Individual provider Active NPI

Rene Frances Ann Hilderbrand, D.O, RPA-C

  • Pain Medicine Physician
  • Belleville, NJ
National Provider Identifier
1861716292
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MB09749500 Issued in NJ
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151019002109 NJ Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3779723424 Reassigns benefits to 1 organization
I20160901000420 NY Practitioner - Physical Medicine and Rehabilitation 3779723424 Reassigns benefits to 2 organizations

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
Community Medical Wellness PCGroup PAC ID 6709128697, 22 clinicians

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

LicenseStateTypeSpecialty
252229NYMDPhysical Medicine & Rehabilitation Physician
25MB09749500NJMDPain Medicine Physician
008820-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Pain Management and Spine PLLC Physical Medicine & Rehabilitation CurrentSince Dec 4, 2016 Accepting new patients
Jersey Rehab PA Physical Medicine & Rehabilitation CurrentSince Aug 31, 2015 Accepting new patients
Jersey Rehab, PA Physical Medicine & Rehabilitation CurrentSince Aug 31, 2015 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.

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

Verify at the official NPI Registry.