Individual provider Active NPI

Mark Joseph Roczey, D.C.

  • Chiropractor
  • South Orange, NJ
National Provider Identifier
1376741611
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00641000 Issued in NJ
Practice address
60 1St St
South Orange, NJ 07079-1916
Phone
(973) 761-0022
Fax
(973) 761-1546
NPI assigned
Jul 9, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00641000 NJ Primary

Addresses

Primary practice location

60 1St St
South Orange, NJ 07079-1916

Mailing address

60 1St St
South Orange, NJ 07079-1916
Phone (973) 761-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140724000950 NJ Practitioner - Chiropractic 9133345333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Connecticut School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
South Orange Chiropractic CenterGroup PAC ID 6406904762, 8 clinicians

Practice addresses (Care Compare)

60 1St St
South Orange, NJ 07079-1916
Phone (973) 761-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00641000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Orange Chiropractic Center Chiropractor CurrentSince Jun 2, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376741611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 1ST ST",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791916",
            "telephone_number": "973-761-0022",
            "fax_number": "973-761-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 1ST ST",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791916",
            "telephone_number": "973-761-0022",
            "fax_number": "973-761-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCZEY",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00641000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.