Roger S. Taylor, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00200100 Issued in NJ

Practice address

59 Manchester Ave
Forked River, NJ 08731-1359

Phone

(609) 242-0007

Fax

(609) 247-0143

NPI assigned

Oct 31, 2005

Last updated

Dec 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Foot and Ankle Centre

  • Podiatrist
  • Forked River, NJ
  • NPI 1609014422
  Authorized official Same address or phone
• Ocean Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Little Egg Harbor TWP, NJ
  • NPI 1104864610
  NPD (past)
• Vioral Health and Behavioral Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1598254815
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1205827243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MANCHESTER AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311359",
            "telephone_number": "609-242-0007",
            "fax_number": "609-247-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MANCHESTER AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311359",
            "telephone_number": "609-242-0007",
            "fax_number": "609-247-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROGER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00200100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4837207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy E. Swank, L.S.C.W.
• Daniel Sweeney
• Morgan A Sweeney, LAC
• Olivia Rose Tarricone, RD
• Laura Tavarez, MD
• The Arc Ocean County Chapter, Inc
• The Arc Ocean County Chapter, Inc
• The Arc Ocean County Chapter, Inc
• The Arc Ocean County Chapter, Inc
• The Arc Ocean County Chapter, Inc

• Podiatrist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.