Individual provider Active NPI

Philip S Rogers, MD

  • Cardiovascular Disease Physician
  • Mountain Lakes, NJ
National Provider Identifier
1174512776
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA067267 Issued in NJ
Practice address
415 Boulevard
Mountain Lakes, NJ 07046
Phone
(973) 334-7700
Fax
(973) 402-5847
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA067267 NJ Primary

Addresses

Primary practice location

415 Boulevard
Mountain Lakes, NJ 07046

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other identifiers 1

IdentifierTypeStateIssuer
7755007MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20111220000412 NJ Practitioner - Cardiovascular Disease (Cardiology) 0345277919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

21 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 586-5000

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 316-1800

333 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone (973) 895-6601

400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 989-3000

415 Boulevard
Mountain Lakes, NJ 07046-1723
Phone (973) 334-7700

714 Route 10 W
Amg Primary Care at Randolph
Randolph, NJ 07869-2058
Phone (973) 891-1213

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067267NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Cardiology Center, PA Current Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince Oct 1, 2020 Accepting new patients
Practice Associates Medical Group CurrentSince Dec 1, 2020 Accepting new patients
Saint Clares Hospital Inc Cardiovascular Disease Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

415 Boulevard
Mountain Lks, NJ 07046
Phone (201) 402-9124

714 State Route 10
Randolph, NJ 07869
Phone (973) 366-8338

333 Mount Hope Ave
Ste 255
Rockaway, NJ 07866

Interoperability endpoints

  • Direct secure messaging: progers93595@direct.ahsys.org

Organizations & group practices 4

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 4

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1174512776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOULEVARD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "07046",
            "telephone_number": "973-334-7700",
            "fax_number": "973-402-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PHILIP",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA067267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7755007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.