Active NPI
David Rola, MD
- Family Medicine Physician
- Barnegat, NJ
National Provider Identifier
1861424020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA04503600
- Practice address
- 26 Azalea CT
Barnegat, NJ 08005-2049 - Phone
- (609) 698-2189
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA04503600 | NJ | Primary |
Addresses
Primary practice location
26 Azalea CT
Barnegat, NJ 08005-2049
Mailing address
26 Azalea CT
Barnegat, NJ 08005-2049
Phone (609) 698-2189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5099706 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04503600 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1861424020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 AZALEA CT",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052049",
"telephone_number": "609-698-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 AZALEA CT",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052049",
"telephone_number": "609-698-2189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLA",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA04503600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5099706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barnegat, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.