BRYAN ALCIDES PABLO M.D.
NPI 1114203239
Obstetrics & Gynecology in Teaneck, NJ

Q: What is Bryan Pablo's NPI number?

The NPI number for Bryan Pablo is 1114203239. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Q: What is Bryan Pablo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Pablo was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 03, 2011PECOS EnrolledAccepts Medicare Assignment

718 TEANECK RD, TEANECK, NJ 07666(201) 968-1800(201) 968-1814 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2021, Mar 31, 2021, Mar 22, 2021 (3 updates tracked since 2021).

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About Bryan Alcides Pablo M.d. NPPES

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

BRYAN ALCIDES PABLO M.D. (NPI 1114203239) is an individual obstetrics & gynecology provider in Teaneck, New Jersey, licensed in New Jersey (25MA09485200) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2010).

NPPES Registry Identity

NPI1114203239

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameBRYAN ALCIDES PABLOCredential: M.D.

Location Address718 TEANECK RDTeaneck, NJ 07666-4245

Mailing AddressPo Box 22581New York, NY 10087-2581 · (856) 669-6050 · Fax (856) 528-3117

Phone(201) 968-1800

Fax(201) 968-1814

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2010

Enumeration DateNovember 3, 2011

Last NPPES UpdateAugust 19, 20213 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1114203239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 25MA09485200

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

718 TEANECK RD, Teaneck, NJ 07666

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Other Identifiers 1

Medicaid0419443NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Alcides Pablo M.d. 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.

PECOS PAC ID5395963060

PECOS Enrollment IDI20140822000626

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 07666 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 20

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

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