Active NPI
Baltazar D Rodricks, M.D.
- Anesthesiology Physician
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA02514600
- Practice address
- 6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543 - Phone
- (609) 813-2190
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA02514600 | NJ | Primary |
Addresses
Primary practice location
6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543
Mailing address
PO Box 237
Northfield, NJ 08225-0237
Phone (609) 813-2190
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040601000554 | NJ | Practitioner - Anesthesiology | 3173504545 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 86.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levona Health LLC | Current | Accepting new patients | |
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| South Shore Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
| Jersey Shore Pain Management | Past | Accepting new patients | |
| South Shore Anesthesia and Pain | Anesthesiology | Past | Accepting new patients |
| Atlanticare Regional Medical Center | Anesthesiology | Past | Accepting new patients |
Locations
301 Central Ave
Egg Hbr Twp, NJ 08234
Phone (609) 653-9000
301 Central Ave
Ste A
Egg Hbr Twp, NJ 08234
Phone (609) 653-9000
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1907 New Rd
Northfield, NJ 08225
Phone (609) 569-1040
Interoperability endpoints
- https://api.platform.athenahealth.com/17092/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
Anesthesiology, NJ
-
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
Anesthesiology
-
- Pain Medicine Physician
- Egg Harbor Township, NJ
- NPI 1225269756
-
- Anesthesiology Physician
- Egg Harbor Township, NJ
- NPI 1174606396
Anesthesiology
-
- Anesthesiology Physician
- Egg Harbor Township, NJ
- NPI 1902829286
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265468151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 237",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082250237",
"telephone_number": "609-813-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 BLACK HORSE PIKE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345543",
"telephone_number": "609-813-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRICKS",
"first_name": "BALTAZAR",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA02514600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.