Individual provider Active NPI

Michael J Rodia, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • East Brunswick, NJ
National Provider Identifier
1912168097
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00206100 Issued in NJ
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1790396281OtherNJTITAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090702000138 NJ Practitioner - Physician Assistant 2769533702 Reassigns benefits to 2 organizations

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
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

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

LicenseStateTypeSpecialty
010694NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Nov 20, 2021 Accepting new patients
Titan Health Partners LLC CurrentSince Nov 20, 2021 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.

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

Verify at the official NPI Registry.