Organization Active NPI

Ira M. Trocki, MD, PA

  • Plastic Surgery Physician
  • Northfield, NJ
National Provider Identifier
1447307129
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
IRA M. TROCKI, MD, PA
Practice address
631 Tilton Rd
Northfield, NJ 08225-1219
Phone
(609) 645-3000
Fax
(609) 645-0253
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Ira M Trocki, M.D.NPI 1235296088
Title
Doctor
Phone
(609) 645-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

631 Tilton Rd
Northfield, NJ 08225-1219

Mailing address

631 Tilton Rd
PO Box 865
Northfield, NJ 08225-1219
Phone (609) 645-3000

Other names 1

  • Trocki Plastic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000462 NJ Part B Supplier - Clinic/Group Practice 9638061542 Receives reassigned benefits from 5 practitioners
Practice locations: Northfield, NJ

National Provider Directory

National Provider Directory

Locations

6811 Black Horse Pike
Egg Harbor Township, NJ 08234
Phone (609) 645-3000

6811 Black Horse Pike
Ste 131
Egg Harbor Twp, NJ 08234
Phone (609) 484-8175

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1447307129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 TILTON RD",
            "address_2": "PO BOX 865",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251219",
            "telephone_number": "609-645-3000",
            "fax_number": "609-645-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251219",
            "telephone_number": "609-645-3000",
            "fax_number": "609-645-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA M. TROCKI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "TROCKI",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-645-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trocki Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.