Individual provider Active NPI

James J. Rogers, D.O.

  • Psychiatry Physician
  • Mount Laurel, NJ
National Provider Identifier
1174596944
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MB05852300 Issued in NJ
Practice address
100 Century Pkwy Ste 350
Mount Laurel, NJ 08054-1149
Phone
(856) 482-9000
Fax
(856) 482-1159
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MB05852300 NJ Primary

Addresses

Primary practice location

100 Century Pkwy Ste 350
Mount Laurel, NJ 08054-1149

Mailing address

356 Grande Blvd
Glassboro, NJ 08028-3242
Phone (856) 520-9951

Other identifiers 1

IdentifierTypeStateIssuer
8406804MedicaidNJ

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
I20051026000770 NJ Practitioner - Psychiatry 1052338365 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB05852300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Cumberland County Guidance Center CurrentSince Oct 1, 2014 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Rowansom Dept of Family Practice Past Accepting new patients
Camden County Health Services Center PastSince Jun 30, 2008 Accepting new patients
Rowansom Nmi Headache Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

2038 Carmel Rd
Millville, NJ 08332
Phone (856) 825-6810

100 Century Pkwy
Ste 350
Mount Laurel, NJ 08054
Phone (856) 482-9000

42 E Laurel Rd
Ste 1700
Stratford, NJ 08084
Phone (856) 482-9000

650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1174596944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 GRANDE BLVD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283242",
            "telephone_number": "856-520-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY PKWY STE 350",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541149",
            "telephone_number": "856-482-9000",
            "fax_number": "856-482-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JAMES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MB05852300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8406804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.