Individual provider Active NPI

David Rocamboli, D.O.

  • Anesthesiology Physician
  • Hoboken, NJ
National Provider Identifier
1316964752
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA79029 Issued in NJ
Practice address
1100 Adams St
Apt 509
Hoboken, NJ 07030-9019
Phone
(917) 873-6284
Fax
(973) 893-0135
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA79029 NJ Primary

Addresses

Primary practice location

1100 Adams St
Apt 509
Hoboken, NJ 07030-9019

Mailing address

1100 Adams St
Apt 509
Hoboken, NJ 07030-9019
Phone (917) 873-6284

Other identifiers 1

IdentifierTypeStateIssuer
0077364MedicaidNJ

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
I20050718000445 NJ Practitioner - Anesthesiology 8729014113 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA79029NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesiologists LLC CurrentSince Jan 1, 2007 Accepting new patients
Ambulatory Center for Endoscopy, LLC CurrentSince May 1, 2019 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Apr 10, 2011 Accepting new patients
Ambulatory Center for Endoscopy, LLC CurrentSince May 1, 2019 Accepting new patients
Anesthesia Management Associates of NJ LLC Anesthesiology Past Accepting new patients
Tri-County Pain Management & Rehabilitation, PA Anesthesiology Past Accepting new patients
North Fullerton Anesthesia, P.C. Anesthesiology Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387

9226 Kennedy Blvd
Unit A
North Bergen, NJ 07047
Phone (201) 295-0900

7600 River Rd
Fl 4
North Bergen, NJ 07047
Phone (201) 295-4805

9226 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 295-0900

Interoperability endpoints

  • Direct secure messaging: drocamboli99304@direct.ahsys.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PC 570 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-4140

250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 880-2700

30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5380

65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1316964752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ADAMS ST",
            "address_2": "APT 509",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070309019",
            "telephone_number": "917-873-6284",
            "fax_number": "973-893-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ADAMS ST",
            "address_2": "APT 509",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070309019",
            "telephone_number": "917-873-6284",
            "fax_number": "973-893-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCAMBOLI",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA79029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077364",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.