Raymond Villongco, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

220788-1 Issued in NY

Practice address

121 Cedar LN
Suite 2B
Teaneck, NJ 07666-4457

Phone

(201) 836-4228

Fax

(201) 357-2150

NPI assigned

Jul 17, 2006

Last updated

Aug 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Name Home Care Home health agency, Teaneck, NJ, CCN 317077
• Holy Name Hospice Hospice, Teaneck, NJ, CCN 311547
• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
• CareOne at New Milford Nursing home, New Milford, NJ, CCN 315306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Salus Med PC

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1073652210
  Medicare reassignment NPD Authorized official
• Holy Name Cardiology Associates, PC

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1710168232
  NPD (past)

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

• 800 River Road Operating Company, LLC

  dba Woodcrest Health Care Center

  • Skilled Nursing Facility
  • New Milford, NJ
  • NPI 1386643062

  Nursing home

  Care Compare affiliation
• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc

  dba Holy Name Hospital Hospice

  • Community Based Hospice Care Agency
  • Teaneck, NJ
  • NPI 1477686871
  Care Compare affiliation
• Holy Name Medical Center Inc

  dba Holy Name Hospital Homecare

  • Home Health Agency
  • Teaneck, NJ
  • NPI 1780760405
  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1962420281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE 2B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-836-4228",
            "fax_number": "201-357-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE 2B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-836-4228",
            "fax_number": "201-357-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLONGCO",
        "first_name": "RAYMOND",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220788-1",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "220788",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07738300",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07738300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas A Vero, D.D.S.
• Charles P Vialotti, MD
• Lissette Carolina Villacreses Brito, M.D.
• Eryn Clarise Villanueva
• Nelson Angelo Ballesteros Villanueva, PA-C
• Alexander M Vitievsky, M.D.
• Dina M Vitorino, LPC
• Melba Vittal, MD
• Allison Vogel, MS, RD
• Ashley Rebecca Voshell, FNP-C

• Internal Medicine Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.

Verify at the official NPI Registry.