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

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: October 18, 2026.

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

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, maintains a secondary practice location in Hackensack, 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
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

Secondary Practice Location 1

Location 120 Prospect Ave, Suite 801Hackensack, NJ 07601 · Phone (201) 869-5488

Other Identifiers 1

Medicaid0419443NJ

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Bryan Pablo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
350 BOULEVARD
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 101 clinicians in this Medicare group
General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 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.

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.

Emergency Medicine
718 TEANECK RD
TEANECK, NJ 07666
Internal Medicine (Nephrology)
718 TEANECK RD
TEANECK, NJ 07666
Specialist
718 TEANECK RD
TEANECK, NJ 07666
Ophthalmology
718 TEANECK RD
TEANECK, NJ 07666
Urology
718 TEANECK RD
TEANECK, NJ 07666
Surgery
718 TEANECK RD
TEANECK, NJ 07666
Midwife
718 TEANECK RD
TEANECK, NJ 07666
Pharmacist
718 TEANECK RD
TEANECK, NJ 07666

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 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.

Where is Bryan Pablo located?

Bryan Pablo practices at 718 Teaneck Rd, Teaneck, NJ 07666. The listed phone number is (201) 968-1800.

What is Bryan Pablo's specialty?

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

Is Bryan Pablo enrolled in Medicare?

Yes. Bryan Pablo 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 Bryan Pablo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Pablo reassigns Medicare benefits to 4 organizations: St Marys General Medical Group PC (Passaic, NJ), Mpv New Jersey MD Services PC (Westwood, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Ob Hospitalist Services New Jersey, PA (Greenville, SC). 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 Bryan Pablo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Pablo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Bryan Pablo 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 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.