Active NPI
Michael S Rogers MD PA
- Family Medicine Physician
- West Deptford, NJ
National Provider Identifier
1710946447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MICHAEL S ROGERS MD PA
- Practice address
- 831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162 - Phone
- (856) 853-8730
- Fax
- (856) 853-8870
- NPI assigned
- Mar 21, 2006
- Last updated
- Feb 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elaine Larthey
- Title
- Om
- Phone
- (856) 853-8730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162
Mailing address
831 Kings Hwy
Suite 100
West Deptford, NJ 08096-3162
Phone (856) 853-8730
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6444407 | Medicaid | NJ | |
| 000786022001 | Other | NJ | UNITED HEALTHCARE |
| 0762906002 | Other | NJ | AMERIHEALTH |
| 000614452 | Other | NJ | IBC |
| 10872 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0875126 | Michael S Rogers MD PA | Provider-performed microscopy | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
831 Kings Hwy
Ste 100
West Deptford, NJ 08096
Phone (856) 853-8730
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- West Deptford, NJ
- NPI 1184684268
-
- Family Medicine Physician
- Woodbury, NJ
- NPI 1740249457
-
- Family Medicine Physician
- West Deptford, NJ
- NPI 1447561121
-
- Family Nurse Practitioner
- West Deptford, NJ
- NPI 1497045272
-
- Psychiatric/Mental Health Nurse Practitioner
- Vineland, NJ
- NPI 1740640309
-
- Family Nurse Practitioner
- Marlton, NJ
- NPI 1164150116
-
- Medical Physician Assistant
- Woodbury, NJ
- NPI 1457460743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1710946447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 KINGS HWY",
"address_2": "SUITE 100",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963162",
"telephone_number": "856-853-8730",
"fax_number": "856-853-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 KINGS HWY",
"address_2": "SUITE 100",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963162",
"telephone_number": "856-853-8730",
"fax_number": "856-853-8870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL S ROGERS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "LARTHEY",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "OM",
"authorized_official_telephone_number": "856-853-8730",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6444407",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "000786022001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0762906002",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "000614452",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "10872",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.