Individual provider Active NPI

Jennifer N Rogers, PA-C

  • Physician Assistant
  • Voorhees, NJ
National Provider Identifier
1871593012
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00089800 Issued in NJ
Practice address
707 White Horse Rd
Suite C103
Voorhees, NJ 08043-2461
Phone
(856) 627-1900
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00089800 NJ Primary

Addresses

Primary practice location

707 White Horse Rd
Suite C103
Voorhees, NJ 08043-2461

Mailing address

707 White Horse Rd
Suite C103
Voorhees, NJ 08043-2461
Phone (856) 627-1900

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000321 NJ Practitioner - Physician Assistant 0042304560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rutgers New Jersey Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baratta Dermatology LLCGroup PAC ID 6305131533, 3 clinicians

Practice addresses (Care Compare)

2026 B Briggs Rd
Suite 100
Mount Laurel, NJ 08054-4601

2026 B Briggs Rd
Suite 100
Mount Laurel, NJ 08054-4607
Phone (609) 288-6884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00089800NJMDPhysician Assistant

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1871593012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "SUITE C103",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-627-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "SUITE C103",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-627-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00089800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.