Active NPIIndividual provider

Audra Rose

Occupational Therapist in Newark, New Jersey

NPI Number1861619991
Practice location
65 Bergen St, #601, Newark, NJ 07107-3001
Fax
973-972-2645
Last updated
September 11, 2025

Audra Rose is an Occupational Therapist based in Newark, NJ. Audra Rose practices in Newark, NJ. The NPI Number for Audra Rose is 1861619991 and holds a License No. 46TR00064000 (NJ). The current practice location address for Audra Rose is 65 Bergen St, #601, Newark, NJ 07107-3001 and can be reached out via phone at 973-972-0186 and via fax at 973-972-2645.

Provider Profile Details

NPI Number
1861619991
Provider Name
Audra Rose
Provider Entity Type
Individual
Gender
Female
Address
65 Bergen St, #601, Newark, NJ 07107-3001
Phone Number
973-972-0186
Fax Number
973-972-2645
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Bergen St
#601
Newark, NJ 07107-3001
City
Newark
Zip
07107-3001
Phone Number
973-972-0186
Fax Number
973-972-2645
Newark, NJ 07107Get directions →

Provider Business Mailing Address Details

Address
231 Park Ave
#1
Hoboken, NJ 07030-3707
City
Hoboken
State
NJ
Zip
07030-3707
Phone Number
201-386-1809
Fax Number
201-386-1809

License Information

License Number (1)
46TR00064000
License State (1)
NJ
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
46TR00064000
License State (2)
NJ
Taxonomy (2)
Occupational Therapist, Pediatrics · 225XP0200X

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 Audra Rose?

The NPI number of Audra Rose is 1861619991. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Audra Rose?

Audra Rose is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00064000.

Where does Audra Rose practice?

The practice location is 65 Bergen St, #601, Newark, NJ 07107-3001. The office can be reached at 973-972-0186 (phone) or 973-972-2645 (fax).

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 1861619991 directly on the NPPES registry website.

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