Active NPI
Roger John Harris, PA-C
- Medical Physician Assistant
- Cape May, NJ
National Provider Identifier
1679559926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02261
- Practice address
- 1 Munro Dr
Tracen Cape May-Medical
Cape May, NJ 08204-5000 - Phone
- (609) 898-6261
- Fax
- (609) 898-6962
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02261 | TX | Primary |
Addresses
Primary practice location
1 Munro Dr
Tracen Cape May-Medical
Cape May, NJ 08204-5000
Mailing address
15100 Rescue Way
Clearwater, FL 33762
Phone (727) 535-1437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02261 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1679559926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15100 RESCUE WAY",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33762",
"telephone_number": "727-535-1437",
"fax_number": "727-535-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MUNRO DR",
"address_2": "TRACEN CAPE MAY-MEDICAL",
"city": "CAPE MAY",
"state": "NJ",
"postal_code": "082045000",
"telephone_number": "609-898-6261",
"fax_number": "609-898-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROGER",
"middle_name": "JOHN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape May, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.