Provider Demographics
NPI:1053376533
Name:ENGLERT, RONALD S (DO)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:ENGLERT
Suffix:
Gender:
Credentials:DO
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Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5792
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:212-867-4353
Practice Address - Street 1:489 5TH AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6109
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2025-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY248793207Q00000X
CO40484207Q00000X
MA253612207Q00000X
NJ25MB11014100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79785522Medicaid
COH50408Medicare UPIN
CO79785522Medicaid