Organization Active NPI

RT Bock MD Consultancy, LLC

  • Legal Medicine
  • Newfoundland, NJ
National Provider Identifier
1285651034
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MA65099 Issued in NJ
Legal business name
RT BOCK MD CONSULTANCY, LLC
Practice address
91 Union Valley Rd
Newfoundland, NJ 07435-1603
Phone
(201) 492-4987
Fax
(201) 326-5121
NPI assigned
Jul 17, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Dr. Robert Tamas Bock Jr., M.D.NPI 1245251891
Title
Doctor
Phone
(201) 492-4987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MA65099 NJ Primary

Addresses

Primary practice location

91 Union Valley Rd
Newfoundland, NJ 07435-1603

Mailing address

91 Union Valley Rd
Newfoundland, NJ 07435-1603
Phone (201) 492-4987

Other identifiers 2

IdentifierTypeStateIssuer
1285651034OtherNJNPI
1245251891OtherNJNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090918000161 NJ Part B Supplier - Clinic/Group Practice 4183646151 Receives reassigned benefits from 8 practitioners
Practice locations: Newfoundland, NJ

National Provider Directory

National Provider Directory

Locations

227 Hamburg Tpke
Ste 8
Pompton Lakes, NJ 07442
Phone (201) 492-4987

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1285651034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 UNION VALLEY RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351603",
            "telephone_number": "201-492-4987",
            "fax_number": "201-326-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 UNION VALLEY RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351603",
            "telephone_number": "201-492-4987",
            "fax_number": "201-326-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RT BOCK MD CONSULTANCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TAMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-492-4987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA65099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285651034",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245251891",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfoundland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.