Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronald D Ennis, MD

Individual provider Radiation Oncology Physician · NPI 1780668400

Ronald D Ennis, MD is a Radiation Oncology in New York, New York. Graduated from Yale University School of Medicine in 1990, 36 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
36
Trained at
Yale University School of Medicine
Licensed in
NJ, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 10th Ave Lowr Level
New York, NY 10019-1147
Phone: (212) 523-7165
Fax: (212) 523-8189
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 25MA09380900 (NJ)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 196138 (NY)

Record details

NPI number1780668400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in New York