Active NPI
Michael J Rodia, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- East Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00206100
- Practice address
- J2 Brier Hill CT
East Brunswick, NJ 08816-3340 - Phone
- (732) 390-7750
- Fax
- (732) 390-7725
- NPI assigned
- Jun 20, 2008
- Last updated
- Apr 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010694 | NY | |
| Medical Physician Assistant | 363AM0700X | 25MP00206100 | NJ | Primary |
Addresses
Primary practice location
J2 Brier Hill CT
East Brunswick, NJ 08816-3340
Mailing address
J2 Brier Hill CT
East Brunswick, NJ 08816-3340
Phone (732) 390-7750
Other practice location 1
333 Forsgate Dr
Jamesburg, NJ 08831-1567
Phone (732) 521-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790396281 | Other | NJ | TITAN HEALTH GROUP NPI# |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 724-1739
620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 390-7750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010694 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titan Health Partners LLC | Current | Accepting new patients | |
| Titan Health Partners LLC | Current | Accepting new patients | |
| Titan Health Partners LLC | Past | Accepting new patients |
Locations
629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555
J2 Brier Hill Ct
East Brunswick, NJ 08816
Phone 73239077500219
34-36 Progress St
Ste B
Edison, NJ 08820
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
1 Washington Blvd
Ste 9
Robbinsville, NJ 08691
Phone (732) 314-0540
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
Organizations & group practices 4
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 Astera Cancer Care
- Hematology & Oncology Physician
- East Brunswick, NJ
- NPI 1790396281
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
-
dba Astera Cancer Care
- Hematology & Oncology Physician
- Rutherford, NJ
- NPI 1811540271
-
dba Astera Cancer Care
- Hematology & Oncology Physician
- Monroe Township, NJ
- NPI 1609407337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1912168097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "J2 BRIER HILL CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163340",
"telephone_number": "732-390-7750",
"fax_number": "732-390-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J2 BRIER HILL CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163340",
"telephone_number": "732-390-7750",
"fax_number": "732-390-7725"
}
],
"practiceLocations": [
{
"address_1": "333 Forsgate Dr",
"address_purpose": "LOCATION",
"city": "Jamesburg",
"state": "NJ",
"postal_code": "088311567",
"country_code": "US",
"telephone_number": "732-521-3131",
"fax_number": "732-521-1116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODIA",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "010694",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00206100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TITAN HEALTH GROUP NPI#",
"identifier": "1790396281",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.