Active NPI
Dennis Roggemann
- Cardiovascular Disease Physician
- Mountainside, NJ
National Provider Identifier
1114183373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 131180
- Practice address
- 1085 Prospect Ave
Mountainside, NJ 07092-1508 - Phone
- (973) 868-2097
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 131180 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | MA37751 | NJ |
Addresses
Primary practice location
1085 Prospect Ave
Mountainside, NJ 07092-1508
Mailing address
1085 Prospect Ave
Mountainside, NJ 07092-1508
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131180 | NY | MD | Social Worker |
| MA37751 | NJ | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1114183373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 PROSPECT AVE",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070921508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 PROSPECT AVE",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070921508",
"telephone_number": "973-868-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGGEMANN",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "131180",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA37751",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.