Active NPI
Philip Rogers, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1396819835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 098933-1
- Practice address
- 100 W 12TH St
Apt 1D
New York, NY 10011-8268 - Phone
- (212) 989-8100
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 098933-1 | NY | Primary |
Addresses
Primary practice location
100 W 12TH St
Apt 1D
New York, NY 10011-8268
Mailing address
100 W 12TH St
Apt 1D
New York, NY 10011-8268
Phone (212) 989-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00168754 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098933-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1396819835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 12TH ST",
"address_2": "APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118268",
"telephone_number": "212-989-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 12TH ST",
"address_2": "APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118268",
"telephone_number": "212-989-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "098933-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00168754",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.