DR. ROGER COVEN M.D.
NPI 1518961143
Specialist in Ramsey, NJ
NPI Status: Active since June 10, 2005
Contact Information
581 N FRANKLIN TPKE
RAMSEY, NJ
ZIP 07446
Phone: (201) 236-2100
Fax: (201) 236-5269
- Individual
- Male
- Specialist
- PECOS Enrolled
- Medicare Quality Reporting
About ROGER COVEN
This page provides the complete NPI Profile along with additional information for Roger Coven, a provider established in Ramsey, New Jersey with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1518961143 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X with license number 25MA04007000 (NJ). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1518961143
- Provider Name
- DR. ROGER COVEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 581 N FRANKLIN TPKE RAMSEY, NJ 07446
- Location Phone
- (201) 236-2100
- Location Fax
- (201) 236-5269
- Mailing Address
- 581 N FRANKLIN TPKE RAMSEY, NJ 07446
- Mailing Phone
- (201) 236-2100
- Mailing Fax
- (201) 236-5269
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2005
- Last Update Date
- 04-08-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 25MA04007000
- License State
- NJ
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 872591 | OTHER (01) | NJ | AETNA HMO ID # |
| 4129937 | OTHER (01) | NJ | AETNA PPO ID # |
| 56F273 | OTHER (01) | NJ | EMPIRE BC/BS (RAMSEY) |
| 160045031 | OTHER (01) | NJ | RAILROAD MDCR # |
| 56F272 | OTHER (01) | NJ | EMPIRE BC/BS (MIDLAND PK) |
| E53058 | MEDICARE UPIN (02) | NJ | |
| 134519C7C | MEDICARE PIN (08) | NJ | |
| P383592 | OTHER (01) | NJ | OXFORD ID # |
Medicare Participation & PECOS Enrollment Status
Roger Coven is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 98% | 1451 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 86% | 111 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Medication Reconciliation | 97% | 199 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 45% | 1493 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 99% | 1493 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 86% | 1493 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Reviews for DR. ROGER COVEN M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 9 | 6 | 1 | 1 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 18 | 6 | 2 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 8 + 6 + 2 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1518961143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962406595 | DR. MICHAEL FAUST M.D. Individual | Specialist | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1588668115 | DR. MICHELE ROONEY M.D. Individual | Specialist | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1982608485 | DR. RICHARD LEVINE M.D. Individual | Specialist | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1568467900 | DR. SARI MANSHEIM M.D. Individual | Specialist | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1730174715 | KATHLYN KIM Individual | Specialist | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1750321618 | VALLEY CENTER FOR WOMENS HEALTH PA Organization | Specialist | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1467696260 | KATHLEEN STAUNTON NP-C Individual | Nurse Practitioner | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
| 1073929956 | SHELLY NITZ MD Individual | Obstetrics & Gynecology | 581 N FRANKLIN TPKE RAMSEY, NJ 07446 (201) 236-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518961143, enumerated in the NPI registry as an "individual" on June 10, 2005
The provider is located at 581 N Franklin Tpke Ramsey, Nj 07446 and the phone number is (201) 236-2100
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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