CHOLI HARTONO M.D.
NPI 1396703906
Internal Medicine - Nephrology in Hackensack, NJ
About Choli Hartono M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHOLI HARTONO M.D. (NPI 1396703906) is an individual nephrology provider in Hackensack, New Jersey, licensed in New Jersey (25MA12080600) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Choli Hartono 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.
Medicare Billing Reassignment
Medicare enrollment records show Choli Hartono reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJRaritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
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 Choli Hartono's NPI number?
The NPI number for Choli Hartono is 1396703906. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is Choli Hartono located?
Choli Hartono practices at 20 Prospect Ave Ste 406, Hackensack, NJ 07601. The listed phone number is (551) 996-2608.
What is Choli Hartono's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Choli Hartono enrolled in Medicare?
Yes. Choli Hartono 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 organization bills Medicare for Choli Hartono's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Choli Hartono reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Choli Hartono's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Choli Hartono accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Choli Hartono 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.
Is Choli Hartono affiliated with any hospitals?
According to CMS data, Choli Hartono is affiliated with Hackensack University Medical Center, Raritan Bay Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for Choli Hartono was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Choli Hartono, M.D. · NPI 1396703906
Nephrology physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 3, 2006.
## Identity
- **NPI:** 1396703906 (Entity type: Individual)
- **Enumerated:** May 3, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 25MA12080600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 PROSPECT AVE STE 406, Hackensack, NJ 07601-1941
- **Phone:** (551) 996-2608 · **Fax:** (551) 996-0826
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** March 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396703906) · Data from the CMS NPPES public registry.