Choli Hartono, MD - Medicare Nephrology in Hackensack, NJ

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Choli Hartono, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Hackensack, New Jersey. He went to Boston University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is 20 Prospect Ave Ste 406, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-2608.

Choli Hartono is licensed to practice in New Jersey (license number 25MA12080600) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396703906.

Contact Information

Choli Hartono, MD
20 Prospect Ave Ste 406,
Hackensack, NJ 07601-1941
(551) 996-2608
(551) 996-0826

Map and Direction




Physician's Profile

Full NameCholi Hartono
GenderMale
SpecialityNephrology
Experience30 Years
Location20 Prospect Ave Ste 406, Hackensack, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Choli Hartono attended and graduated from Boston University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1396703906
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476556374
  • Enrollment ID: I20240418001755

Medical Identifiers

Medical identifiers for Choli Hartono such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396703906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 227574 (Massachusetts)Secondary
207RN0300XInternal Medicine - Nephrology 212801 (New York)Secondary
207RN0300XInternal Medicine - Nephrology 25MA12080600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York-presbyterian HospitalNew york, NYHospital
Hackensack University Medical CenterHackensack, NJHospital
Jersey Shore University Medical CenterNeptune, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Specialty Care Pc91330325191166

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Choli Hartono allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Choli Hartono is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Choli Hartono, MD
504-506 East 74th Street, 5th Floor,
New York, NY 10021-3486

Ph: (212) 249-4061		Choli Hartono, MD
20 Prospect Ave Ste 406,
Hackensack, NJ 07601-1941

Ph: (551) 996-2608

Reviews and Comments


Internal Medicine Doctors in Hackensack, NJ

Dr. Sean Shabbir Sadikot, M.D.
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Phone: 551-996-2211    Fax: 551-996-5727
Mr. Angel J Mulkay, MD
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Practice Location: 493 Essex Avenue, Hackensack, NJ 07601
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Dr. Morris Samuel Friedman, DO
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Phone: 201-342-0066    Fax: 201-342-0079
Dr. David Serur, M.D.
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Practice Location: 20 Prospect Ave Ste 406, Hackensack, NJ 07601
Phone: 551-996-2608    Fax: 551-996-0826
Jerome F Levine, M.D.
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Phone: 201-487-4088    
Dr. Noa Biran, M.D.
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Practice Location: 92 2nd St, Hackensack, NJ 07601
Phone: 551-996-8704    Fax: 551-996-0582
Naresh Chanderi, MD
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Practice Location: 344 Prospect Ave, Hackensack, NJ 07601
Phone: 201-342-4233    Fax: 201-342-4840

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.