Active NPI
Walter Reginald Rogers Sr., M.D.
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 281500-1
- Practice address
- 1046 E 82ND St
Apartment 1
Brooklyn, NY 11236-4224 - Phone
- (347) 673-8825
- NPI assigned
- Dec 10, 2012
- Last updated
- Dec 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 281500-1 | NY | Primary |
Addresses
Primary practice location
1046 E 82ND St
Apartment 1
Brooklyn, NY 11236-4224
Mailing address
1046 E 82ND St
Apartment 1
Brooklyn, NY 11236-4224
Phone (347) 673-8825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2968 Ave X
Brooklyn, NY 11235-1808
Phone (718) 769-4988
3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550
42 Rockland PLZ
Suite 22
Nanuet, NY 10954-2208
Phone (845) 367-7395
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Current | Accepting new patients | |
| Divinity Medical Services PLLC | Current | Accepting new patients | |
| TBHC Medical Services PC | Family Medicine | Current | Accepting new patients |
| SBH Physicians, PC | Family Medicine | Current | Accepting new patients |
| Urgent Care Physician of New York-Hartsdale PLLC | Current | Accepting new patients |
Locations
21304 Northern Blvd
Bayside, NY 11361
Phone (929) 744-1197
111 E 210th St
Bronx, NY 10467
332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010
4507 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
514 Fulton St
Brooklyn, NY 11201
Phone (718) 940-5000
514 Fulton St
Brooklyn, NY 11201
42 Rockland Plz
Ste 22
Nanuet, NY 10954
Phone (845) 367-7395
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
Interoperability endpoints
- wrogers17765@prd.direct.tbh.org
Organizations & group practices 9
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.
-
dba AFC Urgent Care Yorktown
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1770885808
-
- Legal Medicine
- Brooklyn, NY
- NPI 1760670152
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508959743
-
dba ModernMD Urgent Care
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1932590601
-
- Family Medicine Physician
- Bayside, NY
- NPI 1174322580
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1619984770
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1790020345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 E 82ND ST",
"address_2": "APARTMENT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364224",
"telephone_number": "347-673-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 E 82ND ST",
"address_2": "APARTMENT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364224",
"telephone_number": "347-673-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "WALTER",
"middle_name": "REGINALD",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-10",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "281500-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.