Active NPI
William Rough, MD
- Surgery Physician
- Lumberton, NJ
National Provider Identifier
1013918432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA03040400
- Practice address
- 668 Main St
Ste 4
Lumberton, NJ 08048-5016 - Phone
- (609) 267-7050
- Fax
- (609) 267-7065
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA03040400 | NJ | Primary |
Addresses
Primary practice location
668 Main St
Ste 4
Lumberton, NJ 08048-5016
Mailing address
2 Eves Dr
Suite 109
Marlton, NJ 08053-3193
Phone (856) 669-6061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1820907 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grossman, Levine, Digaetano | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Mount Holly, NJ
- NPI 1275569709
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1013918432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EVES DR",
"address_2": "SUITE 109",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533193",
"telephone_number": "856-669-6061",
"fax_number": "856-651-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 MAIN ST",
"address_2": "STE 4",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080485016",
"telephone_number": "609-267-7050",
"fax_number": "609-267-7065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUGH",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA03040400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1820907",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.