Active NPIIndividual provider

Sue E Rose, RN NPC

Nurse Practitioner, Family in Riverdale, New Jersey

NPI Number1902064983
Practice location
72 Hamburg Tpke Ste B, Riverdale, NJ 07457-1158
Fax
833-488-1216
Last updated
April 16, 2025

Sue Ellen Rose is a Nurse Practitioner, Family based in Riverdale, NJ. Sue Ellen Rose practices in Riverdale, NJ and has the professional credentials of RN NPC. The NPI Number for Sue Ellen Rose is 1902064983 and holds a License No. 26NN07063700 (NJ). The current practice location address for Sue Ellen Rose is 72 Hamburg Tpke Ste B, Riverdale, NJ 07457-1158 and can be reached out via phone at 973-696-6687 and via fax at 833-488-1216.

Provider Profile Details

NPI Number
1902064983
Provider Name
Sue Ellen Rose
Credential
RN NPC
Provider Entity Type
Individual
Gender
Female
Address
72 Hamburg Tpke Ste B, Riverdale, NJ 07457-1158
Phone Number
973-696-6687
Fax Number
833-488-1216
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2008
Last Update Date
April 16, 2025
Certification Date
April 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Hamburg Tpke Ste B
Riverdale, NJ 07457-1158
Zip
07457-1158
Phone Number
973-696-6687
Fax Number
833-488-1216
Riverdale, NJ 07457Get directions →

Provider Business Mailing Address Details

Address
271 Grove Ave Ste E
Verona, NJ 07044-1730
City
Verona
State
NJ
Zip
07044-1730
Phone Number
973-559-3700
Fax Number
833-484-1686

License Information

License Number
26NN07063700
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Sue E Rose, RN NPC?

The NPI number of Sue E Rose, RN NPC is 1902064983. It was assigned on May 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Sue E Rose, RN NPC?

Sue E Rose, RN NPC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NN07063700.

Where does Sue E Rose, RN NPC practice?

The practice location is 72 Hamburg Tpke Ste B, Riverdale, NJ 07457-1158. The office can be reached at 973-696-6687 (phone) or 833-488-1216 (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 1902064983 directly on the NPPES registry website.

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