Individual provider Active NPI

Andreas D Rotsides, M.D.

  • Internal Medicine Physician
  • Mine Hill, NJ
National Provider Identifier
1295799153
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05010400 Issued in NJ
Practice address
195 US Highway 46
Suite 200
Mine Hill, NJ 07803-3163
Phone
(973) 328-1040
Fax
(973) 328-1544
NPI assigned
Apr 16, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05010400 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA05010400 NJ

Addresses

Primary practice location

195 US Highway 46
Suite 200
Mine Hill, NJ 07803-3163

Mailing address

195 US Highway 46
Suite 200
Mine Hill, NJ 07803-3163
Phone (973) 328-1040

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
I20050223000037 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9537135454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

195 US Hwy 46
Suite 200
Mine Hill, NJ 07801

195 US Hwy 46
Suite 203
Mine Hill, NJ 07803-3164
Phone (973) 328-1040

195 US Hwy 46 200
Mine Hill, NJ 07801

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andreas D. Rotsides, MD, LLC Internal Medicine CurrentSince Jun 1, 1993 Accepting new patients
Internal Medicine of Morris County LLC Internal Medicine Past Accepting new patients

Locations

195 US Highway 46
Ste 200
Mine Hill, NJ 07803
Phone (973) 328-1040

195 US Highway 46
Ste 203
Mine Hill, NJ 07803
Phone (973) 328-1040

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 3

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": "1145145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1295799153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "address_2": "SUITE 200",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-328-1040",
            "fax_number": "973-328-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "address_2": "SUITE 200",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-328-1040",
            "fax_number": "973-328-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTSIDES",
        "first_name": "ANDREAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-16",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05010400",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA05010400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mine Hill, NJ

Sources for this page

Verify at the official NPI Registry.