Individual provider Active NPI

William H Rossy, M.D.

  • Family Medicine Physician
  • Metuchen, NJ
National Provider Identifier
1548262272
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA03665700 Issued in NJ
Practice address
561 Middlesex Ave
Metuchen, NJ 08840-1829
Phone
(732) 549-9363
Fax
(732) 603-0397
NPI assigned
Aug 12, 2005
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA03665700 NJ Primary

Addresses

Primary practice location

561 Middlesex Ave
Metuchen, NJ 08840-1829

Mailing address

561 Middlesex Ave
Metuchen, NJ 08840-1829
Phone (732) 549-9363

Other identifiers 1

IdentifierTypeStateIssuer
4011708MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA03665700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Medical Group - Specialty Care, PC Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1548262272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 MIDDLESEX AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401829",
            "telephone_number": "732-549-9363",
            "fax_number": "732-603-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MIDDLESEX AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401829",
            "telephone_number": "732-549-9363",
            "fax_number": "732-603-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSY",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA03665700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4011708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.