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Stanley Abraham Rondon

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as STANLEY RONDON.

Based on the most recent information from CMS, provider Stanley Abraham Rondon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1649923038
Provider Type
Individual
Full Name
Rondon, Stanley Abraham
Gender
Male

Sole Proprietor
No
Enumeration Date
1/27/2022
Last Updated
5/31/2023

Contact Information

Practice Location

150 55th St, Brooklyn, NY 11220-2508

(718) 630-7000

Unlisted Fax

Mailing Location

38 Cobbler Ln, East Setauket, NY 11733-1199

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 028067 New York
Code 207X00000X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License 028067 New York

Stanley Abraham Rondon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Buda, Gianna

Daniels, Khadija

Lempert, Irina

Zhang, Jinyan

Fink, Kristen

Love, Sophia Rose

Fazzolari, Theresa Lynne

Kong, Wendy

Weston, Jennifer M

Garbulsky, Michael