DR. RODERICK JOHN CLEMENTE M.D.
NPI 1053405654
Neurological Surgery in Montclair, NJ

Active since October 03, 2006PECOS Enrolled
96 GATES AVENUE, MONTCLAIR, NJ 07042(973) 744-3166(973) 744-3199 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roderick John Clemente M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RODERICK JOHN CLEMENTE M.D. (NPI 1053405654) is an individual neurological surgery provider in Montclair, New Jersey, licensed in New Jersey (25MA04150100) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053405654
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RODERICK JOHN CLEMENTECredential: M.D.
Location Address96 GATES AVENUEMontclair, NJ 07042
Mailing Address96 Gates AveMontclair, NJ 07042-2501 · (973) 744-3166 · Fax (973) 744-3199
Fax(973) 744-3199
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 23, 2010
NPI 1053405654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NJ · 25MA04150100
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
96 GATES AVENUE, Montclair, NJ 07042

Other Identifiers 3

Other582676791NJ · Tax Id#
Medicare ID-Type Unspecified542413SN2NJ
Medicare UPINC59724NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Roderick John Clemente M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
96 GATES AVENUE
MONTCLAIR, NJ 07042

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 Roderick Clemente's NPI number?

The NPI number for Roderick Clemente is 1053405654. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Roderick Clemente located?

Roderick Clemente practices at 96 Gates Avenue, Montclair, NJ 07042. The listed phone number is (973) 744-3166.

What is Roderick Clemente's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Roderick Clemente enrolled in Medicare?

Yes. Roderick Clemente is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roderick Clemente was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.