Individual provider Active NPI

Juan Carlos Rojas, MD

  • Gynecology Physician
  • White Plains, NY
National Provider Identifier
1003900606
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
236004 Issued in NY
Practice address
12 Greenridge Ave
Suite 302
White Plains, NY 10605-1238
Phone
(914) 937-6085
Fax
(914) 934-3253
NPI assigned
Oct 3, 2006
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 236004 NY Primary

Addresses

Primary practice location

12 Greenridge Ave
Suite 302
White Plains, NY 10605-1238

Mailing address

12 Greenridge Ave
Suite 302
White Plains, NY 10605-1238
Phone (914) 937-6085

Other identifiers 4

IdentifierTypeStateIssuer
81N88OtherNYBC/BS
P3631384OtherOXFORD
2550797OtherUNITEDHEALTHCARE
0D2404OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000626 NY Practitioner - Obstetrics/Gynecology 8921025305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Greenridge Ave
White Plains, NY 10605-1238
Phone (914) 934-3340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Gynecology, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2006 Accepting new patients

Locations

430 Westchester Ave
Port Chester, NY 10573
Phone (914) 937-6766

12 Greenridge Ave
Ste 302
White Plains, NY 10605
Phone (914) 934-3340

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1003900606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 302",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-937-6085",
            "fax_number": "914-934-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 302",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-937-6085",
            "fax_number": "914-934-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "JUAN CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "236004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "81N88",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3631384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2550797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0D2404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.