Active NPI
Alicja Rogacki, PA-C
- Physician Assistant
- East Orange, NJ
National Provider Identifier
1427392125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00295200
- Practice address
- 300 Central Ave
East Orange, NJ 07018-2819 - Phone
- (973) 672-8400
- NPI assigned
- Nov 19, 2012
- Last updated
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00295200 | NJ | Primary |
Addresses
Primary practice location
300 Central Ave
East Orange, NJ 07018-2819
Mailing address
1-19 Cyril Ave
Fair Lawn, NJ 07410-2053
Phone (551) 206-7175
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00295200 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendly Urgent Care, LLC | Current | Accepting new patients | |
| Essex Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
Locations
1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Teaneck, NJ
- NPI 1255843876
-
- Emergency Medicine Physician
- Englewood, NJ
- NPI 1891046264
-
- Emergency Medicine Physician
- East Orange, NJ
- NPI 1265800767
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1427392125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1-19 CYRIL AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102053",
"telephone_number": "551-206-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTRAL AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182819",
"telephone_number": "973-672-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGACKI",
"first_name": "ALICJA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00295200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.