Individual provider Active NPI

Harold Ivanovitch Laroche, M.D.

  • Emergency Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1629060231
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06171300 Issued in NJ
Practice address
201 Hwy 34 S
Colts Neck, NJ 07722-1902
Phone
(732) 866-2284
Fax
(732) 866-1116
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA61713 NJ
Emergency Medicine Physician 207P00000X 25MA06171300 NJ Primary

Addresses

Primary practice location

201 Hwy 34 S
Colts Neck, NJ 07722-1902

Mailing address

236 Parkside Dr
Union, NJ 07083-5563
Phone (908) 964-3257

Other identifiers 1

IdentifierTypeStateIssuer
7043007MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000807 NJ Practitioner - Emergency Medicine 3870551922 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of St Marys LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Mar 13, 2009 Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1629060231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PARKSIDE DR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835563",
            "telephone_number": "908-964-3257",
            "fax_number": "908-687-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HWY 34 S",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221902",
            "telephone_number": "732-866-2284",
            "fax_number": "732-866-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCHE",
        "first_name": "HAROLD",
        "middle_name": "IVANOVITCH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA61713",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06171300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7043007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.