PHILIP S ROGERS (NPI# 1174512776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174512776 |
| Entity Type | Individual |
| Full Name | PHILIP S ROGERS |
| Credential | MD |
| Practice Address |
415 Boulevard Mountain Lakes NJ 07046 |
| Practice Telephone | 9733347700 |
| Practice Fax Number | 9734025847 |
| Mailing Telephone | 9733347700 |
| Mailing Fax Number | 9734025847 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2011-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA067267 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7755007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376967828 | Philip Rogers | Specialist/Technologist | 9806 Palomino Oaks, San Antonio, TX 78254-5967 | 2014-02-04 |
| 1396819835 | Philip Rogers | Internal Medicine | 100 W 12th St, Apt 1d, New York, NY 10011-8268 | 2006-11-17 |
| 1740397868 | Philip Lloyd Rogers | Pediatrics | Department of Pediatrics, 3800 Reservoir Road, Nw, Pasquerilla Healthcare Center, Second Floor, Rm F2003a, Washington, DC 20007-2113 | 2006-08-24 |
| Street Address |
415 BOULEVARD |
| City | MOUNTAIN LAKES |
| State | NJ |
| Zip Code | 07046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932198538 | Sheikh Marie Naeem | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2005-10-17 |
| 1235226960 | Hyeun S Park | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2006-10-06 |
| 1053368837 | Lakeland Cardiology Center, Pa | Specialist | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2006-05-27 |
| 1134190903 | Keith S Leibowitz | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2006-01-30 |
| 1710976857 | Michael Malagold | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2005-10-20 |
| 1164411773 | Paul D Derenzi | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974420 | Evan Cupo | Music Therapist | 60 Midvale Road, Mountain Lakes, NJ 07046 | 2018-08-30 |
| 1164893293 | Morris Speech Therapy Associates, LLC | Speech-Language Pathologist | 155 Route 46, Building F, Mountain Lakes, NJ 07046 | 2015-10-15 |
| 1134349335 | Eva Balogh | Dentist | 115 Rt 46 West, B15, Mt Lakes, NJ 07046 | 2007-04-27 |
| 1023106556 | Peggy Elizabeth Lambe | Occupational Therapist | 7 Craven Rd, Mountain Lakes, NJ 07046 | 2006-10-10 |
| 1154335347 | Seton Ann Scott | Nurse Practitioner | 415 Blvd., Mountain Lakes, NJ 07046 | 2006-07-27 |
| 1962499772 | Magnetic Imaging of Morris P.a. | Clinic/Center | 420 Blvd, Suite 103, Mtn Lakes, NJ 07046 | 2005-10-06 |
| 1639666431 | Svetlana Kononenko Iyer | Behavioral Analyst | 51 Glen Rd, Mountain Lakes, NJ 07046-1152 | 2018-04-17 |
| 1356766521 | Marina Shereshevsky | Nutritionist | 140 Boulevard, Mountain Lakes, NJ 07046-1201 | 2014-02-25 |
| 1932218625 | Eric B Friedberg | Radiology | 52 Laurel Hill Rd, Mountain Lakes, NJ 07046-1219 | 2006-08-29 |
| 1114189214 | Ernest Michael Staehle | Optometrist | 80 Cobb Rd, Mountain Lakes, NJ 07046-1228 | 2008-06-30 |
| Find all providers in zip 07046 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922265495 | Jordan G Safirstein | Internal Medicine | 356 Rt 46 East, Mountain Lakes, NJ 07046-1717 | 2008-05-21 |
| 1497821250 | Juan Lopez | Internal Medicine | 17 Newcastle Ct, Mountain Lakes, NJ 07046-1450 | 2006-11-24 |
| 1861471310 | John Whang | Internal Medicine | 24 Woodland Ave, Mountain Lakes, NJ 07046-1421 | 2006-01-12 |
| 1932198538 | Sheikh Marie Naeem | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2005-10-17 |
| 1871590448 | Stuart E Shulruff | Internal Medicine | 356 Route 46 E, Mountain Lakes, NJ 07046-1717 | 2005-06-28 |
| 1235226960 | Hyeun S Park | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2006-10-06 |
| 1134190903 | Keith S Leibowitz | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2006-01-30 |
| 1710976857 | Michael Malagold | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2005-10-20 |
| 1730178203 | Mehmood Riaz Ahmad | Internal Medicine | 356 Route 46 E, Mountain Lakes, NJ 07046-1717 | 2005-10-18 |
| 1164411773 | Paul D Derenzi | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046-1723 | 2005-10-17 |
| Find all providers in MOUNTAIN LAKES | ||||
| City | MOUNTAIN LAKES |
| Zip Code | 07046 |
Please comment or provide details below to improve the information on PHILIP S ROGERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.