Individual provider Active NPI

Marc A Rogol, BSN, RN, CEN, MICN

  • Critical Care Medicine Registered Nurse
  • Voorhees, NJ
National Provider Identifier
1588172340
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
26NR15462600 Issued in NJ
Practice address
106 Carnie Blvd
Voorhees, NJ 08043-4515
Phone
(856) 581-7500
NPI assigned
Jan 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 26NR15462600 NJ
Emergency Registered Nurse 163WE0003X RN694575 PA
Medical-Surgical Registered Nurse 163WM0705X RN694575 PA
Critical Care Medicine Registered Nurse 163WC0200X 26NR15462600 NJ Primary
Registered Nurse 163W00000X 26NR15462600 NJ
Emergency Registered Nurse 163WE0003X 26NR15462600 NJ
Registered Nurse 163W00000X RN694575 PA

Addresses

Primary practice location

106 Carnie Blvd
Voorhees, NJ 08043-4515

Mailing address

PO Box 8056
Trenton, NJ 08650-0056

Other practice location 1

100 Bowman Dr
Voorhees, NJ 08043-1596
Phone (856) 247-2200

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15462600NJMDEmergency Registered Nurse
RN694575PAMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1588172340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8056",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086500056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CARNIE BLVD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434515",
            "telephone_number": "856-581-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bowman Dr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431596",
            "country_code": "US",
            "telephone_number": "856-247-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGOL",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BSN, RN, CEN, MICN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR15462600",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PA",
            "license": "RN694575",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PA",
            "license": "RN694575",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR15462600",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15462600",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NJ",
            "license": "26NR15462600",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN694575",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 29, 2025; 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.