Individual provider Active NPI

Roger A. Marinchak, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Jenkintown, PA
National Provider Identifier
1104829068
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD021353E Issued in PA
Practice address
261 Old York Rd
Ste 214
Jenkintown, PA 19046-3724
Phone
(215) 885-4700
Fax
(215) 885-6861
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD021353E PA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD021353E PA Primary

Addresses

Primary practice location

261 Old York Rd
Ste 214
Jenkintown, PA 19046-3724

Mailing address

9501 Roosevelt Blvd
Ste 305
Philadelphia, PA 19114-1028
Phone (215) 671-4280

Other identifiers 1

IdentifierTypeStateIssuer
0009912920018MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040520000786 PA Practitioner - Cardiac Electrophysiology 7214928019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Medical College of Pennsylvania, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

240 Middletown Blvd
Langhorne, PA 19047-1832

5000 Frankford Ave
Philadelphia, PA 19124-2620

9501 Roosevelt Blvd
Philadelphia, PA 19114-1025
Phone (215) 624-6162

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince May 1, 2016 Accepting new patients
Aria Health Physician Services CurrentSince May 1, 2016 Accepting new patients
Aria Health Physician Services Current Accepting new patients
The Heart Group of Lancaster General Health Cardiovascular Disease Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
Cardiovascular Associates of Southeaster Pennsylvania PC Cardiovascular Disease Past Accepting new patients

Locations

261 Old York Rd
Ste 214
Jenkintown, PA 19046
Phone (215) 885-4700

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

9501 Roosevelt Blvd
Ste 501
Philadelphia, PA 19114
Phone (215) 670-5000

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1104829068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD",
            "address_2": "STE 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141028",
            "telephone_number": "215-671-4280",
            "fax_number": "215-464-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "STE 214",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463724",
            "telephone_number": "215-885-4700",
            "fax_number": "215-885-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINCHAK",
        "first_name": "ROGER",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD021353E",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD021353E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009912920018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.