Doctor profile · Federal record

Dr. Choli Hartono, M.D.

Nephrology Physician (CMS: Nephrology) · Nephrology Physician · Nephrology Physician · Hackensack, NJ

  • NPI 1396703906
  • Accepts Medicare
  • MIPS 19.9 / 100 · 2023
  • 32 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
20 Prospect Ave Ste 406
Hackensack, NJ 076011941
(551) 996-2608
fax (551) 996-0826
Additional location
505 E 70Th St, 2Nd Floor
New York, NY 100214872
(212) 746-1578
Mailing address
504-506 East 74Th Street, 5Th Floor
New York, NY 100213486

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
March 11, 2024
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
207RN0300X — NUCC code
State licenses (3)
New Jersey #25MA12080600 · Massachusetts #227574 · New York #212801

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1396703906. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,815
Distinct HCPCS
10
Medicare allowed
$145,865
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 617 237 $84
36415 Insertion of needle into vein for collection of blood sample 302 137 $8
99214 Established patient office or other outpatient visit, 30-39 minutes 223 123 $141
99214 Established patient office or other outpatient visit, 30-39 minutes 195 63 $102
99213 Established patient office or other outpatient visit, 20-29 minutes 154 66 $73
99213 Established patient office or other outpatient visit, 20-29 minutes 128 94 $97
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 62 47 $55
90935 Hemodialysis procedure with physician evaluation 55 47 $79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 41 40 $133
90945 Dialysis procedure including 1 evaluation 21 11 $95

In context: peer comparison

Among 3 peers in Hackensack Nephrology Physician, average services per provider: 201. This provider delivers 9.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,183
Patients
335
Total drug cost
$217,116
Drug Type Claims Patients Total cost
Nifedipine ER (Nifedipine) Brand 173 50 $10,400
Prednisone Generic 116 34 $1,603
Tacrolimus Generic 104 32 $31,462
Losartan Potassium Generic 101 27 $2,312
Atorvastatin Calcium Generic 93 29 $1,269
Mycophenolate Mofetil Generic 86 25 $9,640
Metoprolol Succinate Generic 83 28 $2,727
Cinacalcet Hcl Generic 82 19 $125,882
Calcitriol Generic 63 16 $1,365
Amlodipine Besylate Generic 57 19 $553

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Choli Hartono's medical specialty?
Dr. Choli Hartono practices Nephrology Physician in Hackensack, NJ.
Where does Dr. Choli Hartono practice?
Dr. Choli Hartono practices at 20 Prospect Ave Ste 406, Hackensack, NJ 076011941. Office phone: 5519962608.
What is Dr. Choli Hartono's NPI?
Dr. Choli Hartono's National Provider Identifier (NPI) is 1396703906, issued by NPPES.
Does Dr. Choli Hartono accept Medicare assignment?
Yes. Dr. Choli Hartono accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Choli Hartono commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.