Individual provider Active NPI

Honesto M Poblete, M.D.

  • Vascular Surgery Physician
  • Hamilton, NJ
National Provider Identifier
1972761799
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA08589100 Issued in NJ
Practice address
3525 Quakerbridge Rd
Suite 2000
Hamilton, NJ 08619-1266
Phone
(609) 570-2071
Fax
(609) 689-2614
NPI assigned
May 29, 2008
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25MA08589100 NJ
Surgery Physician 208600000X 245891 NY
Surgery Physician 208600000X MD424921 PA
Vascular Surgery Physician 2086S0129X 25MA08589100 NJ Primary

Addresses

Primary practice location

3525 Quakerbridge Rd
Suite 2000
Hamilton, NJ 08619-1266

Mailing address

720 Fox Hollow Dr
Yardley, PA 19067-4449
Phone (609) 658-4432

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
I20091103000278 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 3072651561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 689-7031

1601 Whitehorse Mercerville Rd
Suite 5
Hamilton, NJ 08619-3836
Phone (609) 570-2071

475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal15
Leg revascularization (restoring blood flow)32
Removal of tissue46
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245891NYMDSurgery Physician
MD424921PAMDSurgery Physician
25MA08589100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Nurse Practitioner CurrentSince Jun 1, 2017 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Barnabas Health Medical Group PC Surgery CurrentSince Nov 2, 2021 Accepting new patients
RWJ Hamilton Diabetes & Endocrinology Group PA Past Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

3525 Quakerbridge Rd
Ste 2000
Trenton, NJ 08619
Phone (609) 462-9430

Interoperability endpoints

  • Direct secure messaging: hpoblete15065@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1972761799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 FOX HOLLOW DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674449",
            "telephone_number": "609-658-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 QUAKERBRIDGE RD",
            "address_2": "SUITE 2000",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191266",
            "telephone_number": "609-570-2071",
            "fax_number": "609-689-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBLETE",
        "first_name": "HONESTO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "25MA08589100",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "245891",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD424921",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA08589100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.