Active NPI
Charles Archer Rowe, MD PHD
- Contractor
- Maplewood, NJ
National Provider Identifier
1558480558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 25MA03673100
- Practice address
- 180 Boyden Ave
Maplewood, NJ 07040-2480 - Phone
- (973) 378-6071
- Fax
- (973) 378-6669
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 25MA03673100 | NJ | Primary |
Addresses
Primary practice location
180 Boyden Ave
Maplewood, NJ 07040-2480
Mailing address
180 Boyden Ave
Maplewood, NJ 07040-2480
Phone (973) 378-6071
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03673100 | NJ | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Njtransit | 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 and National Provider Directory roles.
-
- Bus
- Maplewood, NJ
- NPI 1649493057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558480558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 BOYDEN AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402480",
"telephone_number": "973-378-6071",
"fax_number": "973-378-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 BOYDEN AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402480",
"telephone_number": "973-378-6071",
"fax_number": "973-378-6669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "CHARLES",
"middle_name": "ARCHER",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "25MA03673100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.