Individual provider Active NPI

Rosalyn N Kizer, LPN, BS

  • Licensed Practical Nurse
  • East Orange, NJ
National Provider Identifier
1023530656
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP05236900 Issued in NJ
Practice address
7 Glenwood Ave Ste 419B
East Orange, NJ 07017-1065
Phone
(862) 252-7870
Fax
(862) 444-7171
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP05236900 NJ Primary

Addresses

Primary practice location

7 Glenwood Ave Ste 419B
East Orange, NJ 07017-1065

Mailing address

7 Glenwood Ave Ste 419B
East Orange, NJ 07017-1065
Phone (862) 252-7870

Other names 1

  • Rosalyn N Finklin Other name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
26NP05236900NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Hands Enterprises L.L.C Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1023530656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD AVE STE 419B",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171065",
            "telephone_number": "862-252-7870",
            "fax_number": "862-444-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD AVE STE 419B",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171065",
            "telephone_number": "862-252-7870",
            "fax_number": "862-444-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZER",
        "first_name": "ROSALYN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LPN, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP05236900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALYN",
            "last_name": "FINKLIN",
            "middle_name": "N",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.