Active NPI
Rodrigo R Santos, M.D.
- Surgery Physician
- Haddon Heights, NJ
National Provider Identifier
1194914556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MA32787
- Practice address
- 17 White Horse Pike Ste 6
Haddon Heights, NJ 08035-1299 - Phone
- (856) 547-5522
- Fax
- (856) 547-0416
- NPI assigned
- Oct 22, 2007
- Last updated
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA32787 | NJ | Primary |
Addresses
Primary practice location
17 White Horse Pike Ste 6
Haddon Heights, NJ 08035-1299
Mailing address
17 White Horse Pike Ste 6
Haddon Heights, NJ 08035-1299
Phone (856) 547-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011715 | Medicaid | NJ |
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 |
|---|---|---|---|
| MA32787 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Medical Associates PA | Surgery | Past | Accepting new patients |
| Our Lady of Lourdes Medical Center, Inc. | Past | Accepting new patients | |
| Lourdes Medical Associates, PA | Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Haddon Heights, NJ
- NPI 1063461374
-
dba Lourdes Medical Associates Surigcal Specialists
- Surgery Physician
- Moorestown, NJ
- NPI 1952645525
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1629238506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1194914556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WHITE HORSE PIKE STE 6",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351299",
"telephone_number": "856-547-5522",
"fax_number": "856-547-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WHITE HORSE PIKE STE 6",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351299",
"telephone_number": "856-547-5522",
"fax_number": "856-547-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "RODRIGO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA32787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011715",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haddon Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.