DR. RONALD S ENGLERT D.O.
NPI 1053376533
Family Medicine in New York, NY
About Dr. Ronald S Englert D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RONALD S ENGLERT D.O. (NPI 1053376533) is an individual family medicine provider in New York, New York, licensed in New Jersey (25MB11014100) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jersey City, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1998).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ronald S Englert D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Ronald Englert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: One Medical Of Ny PC
- 139 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Edgewater, NJ 07020
- Reassigned Medicare billing, New Jersey enrollment
- 11 clinicians in this Medicare group
Darien, CT 06820
- Reassigned Medicare billing, Connecticut enrollment
- 9 clinicians in this Medicare group
Hyde Park, MA 02136
- Reassigned Medicare billing, Massachusetts enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ronald Englert's NPI number?
The NPI number for Ronald Englert is 1053376533. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is Ronald Englert located?
Ronald Englert practices at 489 5th Ave 3rd Floor, New York, NY 10017. The listed phone number is (888) 663-6331.
What is Ronald Englert's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ronald Englert enrolled in Medicare?
Yes. Ronald Englert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ronald Englert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Englert reassigns Medicare benefits to 5 organizations: One Medical Of Ny, P.C. (New York, NY), Montefiore Medical Center (New York, NY), Meridian Medical Group - Specialty Care, PC (Edgewater, NJ), Hhc One Medical, LLC (Darien, CT) and Iora Health Massachusetts, P.C. (Hyde Park, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Englert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ronald Englert accept?
Health plans from CareSource and Taro Health list Ronald Englert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ronald Englert was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.