Active NPI
Ronald Snyder, M.D.
- Specialist
- Hackensack, NJ
National Provider Identifier
1962405340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA06975500
- Practice address
- 150 Overlook Ave
Hackensack, NJ 07601-2206 - Phone
- (201) 342-4100
- Fax
- (201) 342-6250
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA06975500 | NJ | Primary |
Addresses
Primary practice location
150 Overlook Ave
Hackensack, NJ 07601-2206
Mailing address
150 Overlook Ave
Hackensack, NJ 07601-2206
Phone (201) 342-4100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2610597 | Other | NJ | AETNA HMO ID # |
| 8172307 | Medicaid | NJ | |
| P2531090 | Other | NJ | OXFORD ID # |
| 487F91 | Other | NJ | BC/BS OF NY ID # |
| 5220551 | Other | NJ | AETNA PPO ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06975500 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Orthopedic Specialties, PA | Specialist | Past | Accepting new patients |
| Garden State Orthopaedic Associates, P.a. | Past | Accepting new patients |
Interoperability endpoints
- ronald.snyder.1@2983.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Specialist
- Paramus, NJ
- NPI 1821030545
-
- Orthopaedic Surgery Physician
- Iselin, NJ
- NPI 1720898729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1962405340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 OVERLOOK AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012206",
"telephone_number": "201-342-4100",
"fax_number": "201-342-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 OVERLOOK AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012206",
"telephone_number": "201-342-4100",
"fax_number": "201-342-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA06975500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID #",
"identifier": "2610597",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8172307",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID #",
"identifier": "P2531090",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NY ID #",
"identifier": "487F91",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID #",
"identifier": "5220551",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.