Individual provider Active NPI

Matthew Lawrence Ronan, D.O.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1952607889
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
259922 Issued in NY
Practice address
450 Clarkson Ave
Box 6
Brooklyn, NY 11203-2012
Phone
(718) 270-1091
NPI assigned
Feb 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 259922 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
Box 6
Brooklyn, NY 11203-2012

Mailing address

390 Bergen St
Apt 3F
Brooklyn, NY 11217-2037
Phone (914) 588-5506

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
I20120313000851 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 6800055625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1907 Hwy 35
Suite 1a
Oakhurst, NJ 07755-2760
Phone (732) 517-0060

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259922NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince May 19, 2023 Accepting new patients
Perioperative Ambulatory Anesthesiology Partners, LLC Anesthesiology Past Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050

1945 Corlies Ave
Neptune City, NJ 07753
Phone (732) 776-4203

1907 Highway 35
Ste 1A
Oakhurst, NJ 07755
Phone (732) 517-0060

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

60 State Route 36
Ste A
West Long Branch, NJ 07764
Phone (732) 222-9229

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1952607889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BERGEN ST",
            "address_2": "APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172037",
            "telephone_number": "914-588-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "259922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.