Individual provider Active NPI

Anne M Rose

  • Occupational Therapist
  • Summit, NJ
National Provider Identifier
1013519131
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00957300 Issued in NJ
Practice address
57 Union PL Ste 204
Summit, NJ 07901-2568
Phone
(908) 273-5537
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00957300 NJ Primary

Addresses

Primary practice location

57 Union PL Ste 204
Summit, NJ 07901-2568

Mailing address

57 Union PL Ste 204
Summit, NJ 07901-2568
Phone (908) 273-5537

Other practice location 1

550 Springfield Ave
Berkeley Heights, NJ 07922-1016
Phone (908) 768-2333

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Email

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00957300NJMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1013519131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 UNION PL STE 204",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "908-273-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UNION PL STE 204",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "908-273-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Springfield Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079221016",
            "country_code": "US",
            "telephone_number": "908-768-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANNE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00957300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "57 Union Pl Ste 204",
            "city": "Summit",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079012568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.