SUE ELLEN ROSE (NPI# 1902064983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902064983 |
| Entity Type | Individual |
| Full Name | SUE ELLEN ROSE |
| Credential | RN NPC |
| Practice Address |
61 Beaverbrook Rd Lincoln Park NJ 07035-1748 |
| Practice Telephone | 9736966687 |
| Mailing Telephone | 9736966687 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NN07063700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Changebridge Rd Bldg C3, Montville, NJ 070459112 | 9735755540 | 9735754885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598907958 | Sue Rose | Specialist | 49 Sidney Pl, 1r, Brooklyn, NY 11201-4645 | 2009-04-01 |
| 1881783033 | Sue F Rose | Dietitian, Registered | 1580 N Northwest Hwy Ste 228-b, Park Ridge, IL 60068-1444 | 2006-10-12 |
| Street Address |
61 BEAVERBROOK RD |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126091 | Advanced Physical Therapy and Wellness Center, LLC | Clinic/Center | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2006-03-02 |
| 1578906004 | Sandra J Mainardi | Physical Therapy Assistant | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2013-04-15 |
| 1104154434 | Julie Ann Kulinski | Physical Therapist | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2009-11-24 |
| 1821235136 | Joel G. Fischgrund M.d.p.a. | Family Medicine | 61 Beaverbrook Rd, Suite 301, Lincoln Park, NJ 07035-1748 | 2009-01-08 |
| 1558514380 | Mark L Kavanagh | Orthopaedic Surgery | 61 Beaverbrook Rd, Suite 201, Lincoln Park, NJ 07035-1748 | 2008-10-24 |
| 1619155314 | Advanced Injury Care II, Inc. | Clinic/Center | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2008-02-05 |
| 1962699835 | Advanced Surgical Solutions, LLC | Specialist | 61 Beaverbrook Rd, Suite 101, Lincoln Park, NJ 07035-1748 | 2007-09-25 |
| 1265463574 | Eddy N Fischgrund | Chiropractor | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2006-07-05 |
| 1427097534 | Joel Gary Fischgrund | Family Medicine | 61 Beaverbrook Rd, Suite 301, Lincoln Park, NJ 07035-1748 | 2006-06-05 |
| 1598712556 | Orthopedic Surgery & Sports Medicine Center, LLC | Specialist | 61 Beaverbrook Rd, Ste 201, Lincoln Park, NJ 07035-1748 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154792794 | Joyce Lynn Delaurentiis | Nurse Practitioner | 1021 Emmons Blvd, Lincoln Park, MI 48146-4240 | 2015-10-08 |
| 1467950014 | Nkechi Kalu Ulinfun | Nurse Practitioner | 752 Southfield Rd, Lincoln Park, MI 48146-2610 | 2018-01-29 |
| 1447763230 | Whitney Renee White | Nurse Practitioner | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2017-11-15 |
| 1750590956 | Monet Marie Murphy | Nurse Practitioner | 2255 Fort St, Lincoln Park, MI 48146-2671 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1861093221 | Giacomina Carmela Sorezza | Nurse Practitioner | 267 Betsy Ross Dr, Freehold, NJ 07728-4223 | 2020-11-03 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
| 1093314015 | Olga Karpusyuk | Nurse Practitioner | 2 Wilson Lane, Metuchen, NJ 08840 | 2020-10-21 |
| 1447859848 | Eugenie Kottin Chetangie | Nurse Practitioner | 13 Rolling Rapids Ct, Hackettstown, NJ 07840-1736 | 2020-10-19 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1205434248 | Avraham Y Eisenman | Nurse Practitioner | 706 Passaic Ave, Clifton, NJ 07012-1847 | 2020-10-12 |
| 1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
Please comment or provide details below to improve the information on SUE ELLEN ROSE.
| 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.