Individual provider Active NPI

Michael S Rogers, MD

  • Family Medicine Physician
  • West Deptford, NJ
National Provider Identifier
1184684268
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04600600 Issued in NJ
Practice address
831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162
Phone
(856) 853-8730
Fax
(856) 853-8870
NPI assigned
Mar 24, 2006
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04600600 NJ Primary

Addresses

Primary practice location

831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162

Mailing address

831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162
Phone (856) 853-8730

Other identifiers 12

IdentifierTypeStateIssuer
P535135OtherNJOXFORD
000581756OtherNJIBC
1083262OtherNJHORIZON NJ HEALTH
223318839OtherNJHORIZON
000786022001OtherNJUNITED HEALTHCARE
F12332OtherNJHEALTHNET
01000219800OtherNJAMERICHOICE
2502208MedicaidNJ
0403475000OtherNJAMERIHEALTH
4312499OtherNJAETNA
4719631OtherNJCIGNA
84294OtherNJAMERIGROUP

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
I20100902000401 NJ Practitioner - Family Practice 1759418619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael S Rogers MD PAGroup PAC ID 4688701543, 4 clinicians

Practice addresses (Care Compare)

831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162
Phone (856) 853-8730

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Rogers MD PA Family Medicine CurrentSince Jan 24, 1990 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

831 Kings Hwy
Ste 100
West Deptford, NJ 08096
Phone (856) 853-8730

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1184684268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 KINGS HWY",
            "address_2": "SUITE 100",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963162",
            "telephone_number": "856-853-8730",
            "fax_number": "856-853-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 KINGS HWY",
            "address_2": "SUITE 100",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963162",
            "telephone_number": "856-853-8730",
            "fax_number": "856-853-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04600600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P535135",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "000581756",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1083262",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "223318839",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "000786022001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F12332",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000219800",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502208",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0403475000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4312499",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4719631",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "84294",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.