Active NPI
Emilio A. Roncace, M.D.
- Otolaryngology Physician
- Voorhees, NJ
National Provider Identifier
1487650958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MA02060800
- Practice address
- 1307 White Horse Rd
BLDG a
Voorhees, NJ 08043-2176 - Phone
- (856) 346-0200
- Fax
- (856) 309-8192
- NPI assigned
- Jun 21, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA02060800 | NJ | Primary |
Addresses
Primary practice location
1307 White Horse Rd
BLDG a
Voorhees, NJ 08043-2176
Mailing address
1307 White Horse Rd
BLDG a
Voorhees, NJ 08043-2176
Phone (856) 346-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3321541 | Other | NJ | AETNA |
| 0072857000 | Other | NJ | AMERIHEALTH |
| 2414902 | Medicaid | NJ |
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 |
|---|---|---|---|
| 25MA02060800 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Otolaryngology Head and Neck Associates, LLC | Otolaryngology | Past | Accepting new patients |
| ENT and Allergy Associates LLP | Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Cherry Hill, NJ
- NPI 1679528426
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487650958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD",
"address_2": "BLDG A",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432176",
"telephone_number": "856-346-0200",
"fax_number": "856-309-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD",
"address_2": "BLDG A",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432176",
"telephone_number": "856-346-0200",
"fax_number": "856-309-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONCACE",
"first_name": "EMILIO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA02060800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3321541",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0072857000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2414902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.