Roger Wallace Plantikow, D.MIN.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00038300 Issued in NJ

Practice address

500 Morris Ave
Suite 320
Springfield, NJ 07081-1027

Phone

(973) 376-6336

Fax

(973) 376-7304

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 26, 2024 through Feb 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westfield Marriage and Family Therapy Group, PA

  • Pastoral Counselor
  • Springfield, NJ
  • NPI 1750598496
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1972719623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MORRIS AVE",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811027",
            "telephone_number": "973-376-6336",
            "fax_number": "973-376-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MORRIS AVE",
            "address_2": "SUITE 320",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811027",
            "telephone_number": "973-376-6336",
            "fax_number": "973-376-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTIKOW",
        "first_name": "ROGER",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "D.MIN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": "972",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00038300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gary Pilchman, PH.D.
• Frederick Pine, D.C.
• Michael Pine, D.C.
• Jose J. Pinto, D.O.
• Erica Pirak, OTR/L
• David Plotkin, DPM
• Podell Medical Center
• Richard Neal Podell, M.D.
• David Egger Powell, MD
• PPS of NJ LLC Dba Partners Pharmacy

• Marriage & Family Therapist in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.