Active NPIIndividual providerSole proprietor

Tracey Rose, APN

Nurse Practitioner, Psych/Mental Health in Englewood, New Jersey

NPI Number1508628314
Practice location
93 W Palisade Ave, Englewood, NJ 07631-2611
Fax
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Last updated
February 17, 2024

Tracey Rose is a Nurse Practitioner, Psych/Mental Health based in Englewood, NJ. Tracey Rose practices in Englewood, NJ and has the professional credentials of APN. The NPI Number for Tracey Rose is 1508628314 and holds a License No. 26NJ15010200 (NJ). The current practice location address for Tracey Rose is 93 W Palisade Ave, Englewood, NJ 07631-2611 and can be reached out via phone at 201-567-0500.

Provider Profile Details

NPI Number
1508628314
Provider Name
Tracey Rose
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
93 W Palisade Ave, Englewood, NJ 07631-2611
Phone Number
201-567-0500
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2024
Last Update Date
February 17, 2024
Certification Date
February 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
93 W Palisade Ave
Englewood, NJ 07631-2611
Zip
07631-2611
Phone Number
201-567-0500
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
133 Bergen Ave
Bergenfield, NJ 07621-2422
City
Bergenfield
State
NJ
Zip
07621-2422
Phone Number
201-892-2453

License Information

License Number
26NJ15010200
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracey Rose, APN?

The NPI number of Tracey Rose, APN is 1508628314. It was assigned on January 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Tracey Rose, APN?

Tracey Rose, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15010200.

Where does Tracey Rose, APN practice?

The practice location is 93 W Palisade Ave, Englewood, NJ 07631-2611. The office can be reached at 201-567-0500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508628314 directly on the NPPES registry website.

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