Active NPI
Daniel J Roche, DPM
- Podiatrist
- Edison, NJ
National Provider Identifier
1437181732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00153800
- Practice address
- 4 Progress St
Ste B5
Edison, NJ 08820-1199 - Phone
- (908) 753-0500
- Fax
- (908) 753-0199
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00153800 | NJ | Primary |
Addresses
Primary practice location
4 Progress St
Ste B5
Edison, NJ 08820-1199
Mailing address
4 Progress St
Ste B5
Edison, NJ 08820-1199
Phone (908) 753-0500
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Health Partners | Current | Accepting new patients | |
| Atlantic Health Partners | Current | Accepting new patients | |
| Atlantic Health Partners | Podiatrist | Past | Accepting new patients |
Locations
333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1144720459
-
- Foot & Ankle Surgery Podiatrist
- Belvidere, NJ
- NPI 1235978487
-
- Podiatrist
- Plainfield, NJ
- NPI 1407544927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1437181732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PROGRESS ST",
"address_2": "STE B5",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201199",
"telephone_number": "908-753-0500",
"fax_number": "908-753-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PROGRESS ST",
"address_2": "STE B5",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201199",
"telephone_number": "908-753-0500",
"fax_number": "908-753-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00153800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.