Individual provider Active NPI

Roger Lallemand Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Old Bridge, NJ
National Provider Identifier
1770575821
Registry record updated Apr 7, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MA07185000 Issued in NJ
Practice address
59 Route 516
Old Bridge, NJ 08857-1416
Phone
(732) 613-1000
Fax
(732) 613-1092
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA07185000 NJ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA07185000 NJ

Addresses

Primary practice location

59 Route 516
Old Bridge, NJ 08857-1416

Mailing address

59 Route 516
Old Bridge, NJ 08857-1416
Phone (732) 613-1000

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heathpoint Medical Group of Keyport, LLC PastSince Sep 1, 2007 Accepting new patients
Healthpoint Medical Group of Asbury Park, LLC PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1770575821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571416",
            "telephone_number": "732-613-1000",
            "fax_number": "732-613-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571416",
            "telephone_number": "732-613-1000",
            "fax_number": "732-613-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLEMAND",
        "first_name": "ROGER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA07185000",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA07185000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.