Individual provider Active NPI

Apostolos A. Paul Rossos, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Hamilton, NJ
National Provider Identifier
1710074562
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
MA044558 Issued in NJ
Practice address
1542 Kuser Road Suite B-5
Hamilton, NJ 08619
Phone
(609) 581-0500
Fax
(609) 581-2077
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MA044558 NJ Primary

Addresses

Primary practice location

1542 Kuser Road Suite B-5
Hamilton, NJ 08619

Mailing address

1542 Kuser Road Suite B-5
Hamilton, NJ 08619
Phone (609) 581-0500

Other identifiers 1

IdentifierTypeStateIssuer
3288404MedicaidNJ

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
I20090311000296 NJ Practitioner - Otolaryngology 8123184447 Practice locations: Freehold, NJ; Trenton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1542 Kuser Rd
Trenton, NJ 08619-3829
Phone (609) 581-0500

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA044558NJMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Interoperability endpoints

  • Direct secure messaging: prossos425433@direct.ahsys.org

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1710074562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KUSER ROAD SUITE B-5",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-581-0500",
            "fax_number": "609-581-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KUSER ROAD SUITE B-5",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-581-0500",
            "fax_number": "609-581-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOS",
        "first_name": "APOSTOLOS",
        "middle_name": "A. PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NJ",
            "license": "MA044558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.