Roseville Medical Group PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MA30602 Issued in NJ

Legal business name

ROSEVILLE MEDICAL GROUP PA

Practice address

346 Roseville Ave
Newark, NJ 07107-1722

Phone

(973) 482-7245

Fax

(973) 482-0274

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Raouf Kamel Elias

Title

MD

Phone

(973) 482-7245

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1770893091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ALICIA CT",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091901",
            "telephone_number": "973-857-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ROSEVILLE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071722",
            "telephone_number": "973-482-7245",
            "fax_number": "973-482-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "RAOUF",
        "authorized_official_middle_name": "KAMEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-482-7245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA30602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Herman Rosenheck, DMD
• Yael Ellie Rosenski
• Yana Rosensteyn, D.D.S.
• Roseville Health Care LLC (Roseville Manor)
• Roseville Health Center Inc.
• Roseville Medical Society LLC
• Roseville Pediatric Care Center, P.a.
• Konrad Roslonek, PT, DPT
• Joel Hilton Ross, M.D.
• Movena Ross

• Legal Medicine in Newark, NJ
• Providers in Newark, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.