Individual provider Active NPI

Rolando Burgos

  • Social Worker
  • North Bergen, NJ
National Provider Identifier
1770981367
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05941600 Issued in NJ
Practice address
803 87TH St
North Bergen, NJ 07047-5108
Phone
(201) 725-1742
NPI assigned
Dec 12, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05941600 NJ Primary

Addresses

Primary practice location

803 87TH St
North Bergen, NJ 07047-5108

Mailing address

803 87TH St
North Bergen, NJ 07047-5108
Phone (201) 725-1742

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724003091 NJ Practitioner - Clinical Social Worker 3779853726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

25 Rockwood PL
Suite 205
Englewood, NJ 07631-4959
Phone (201) 292-1400

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05941600NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC CurrentSince Jan 1, 2025 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Aug 23, 2021 Accepting new patients

Locations

25 Rockwood Pl
Ste 120
Englewood, NJ 07631
Phone (201) 227-5533

25 Rockwood Pl
Ste 205
Englewood, NJ 07631
Phone (201) 292-1400

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1770981367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 87TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475108",
            "telephone_number": "201-725-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 87TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475108",
            "telephone_number": "201-725-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "ROLANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05941600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.