Individual provider Active NPI

Omara Judith Rogalsky, FNP

  • Family Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1033764204
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01019200 Issued in NJ
Practice address
2440 Hamburg Tpke
Wayne, NJ 07470-6226
Phone
(973) 839-3400
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 26NR13882700 NJ
Family Nurse Practitioner 363LF0000X 26NJ01019200 NJ Primary

Addresses

Primary practice location

2440 Hamburg Tpke
Wayne, NJ 07470-6226

Mailing address

2440 Hamburg Tpke
Wayne, NJ 07470-6226
Phone (973) 886-7685

Other practice location 1

4 Vista Ct
Ledgewood, NJ 07852-2603
Phone (973) 886-7685

Other identifiers 1

IdentifierTypeStateIssuer
363LF0000XOtherNJNURSE PRACTITIONER -FAMILY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201204001834 NJ Practitioner - Nurse Practitioner 5193136653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

3626 Route 1
Princeton, NJ 08540-5922
Phone (609) 945-3611

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR13882700NJMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Oct 22, 2020 Accepting new patients
Kane Wound Care LLC CurrentSince Jul 6, 2022 Accepting new patients

Locations

199 Powerville Rd
Boonton Township, NJ 07005
Phone (718) 496-8086

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

3626 US Highway 1
#4331
Princeton, NJ 08540

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

540 W Hanover Ave
Township of Mendham, NJ 07960
Phone (973) 285-2800

2440 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 616-4813

Organizations & group practices 2

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1033764204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706226",
            "telephone_number": "973-886-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706226",
            "telephone_number": "973-839-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Vista Ct",
            "address_purpose": "LOCATION",
            "city": "Ledgewood",
            "state": "NJ",
            "postal_code": "078522603",
            "country_code": "US",
            "telephone_number": "973-886-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGALSKY",
        "first_name": "OMARA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR13882700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01019200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER -FAMILY",
            "identifier": "363LF0000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.