Individual provider Active NPI

Annette Lee Rosado, APN

  • Adult Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1124230578
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00056300 Issued in NJ
Practice address
150 Bergen St
Mezzanine 218
Newark, NJ 07103-2496
Phone
(973) 972-3342
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00056300 NJ Primary

Addresses

Primary practice location

150 Bergen St
Mezzanine 218
Newark, NJ 07103-2496

Mailing address

10 Highland Ave
Apt 7
Belleville, NJ 07109-1261
Phone (973) 972-2987

Other names 1

  • Miss Annette Lee Rosado Professional name

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
I20081010000010 NJ Practitioner - Nurse Practitioner 1052489598 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SKR Medical AdvisorsGroup PAC ID 7315185816, 18 clinicians

Practice addresses (Care Compare)

560 New York Ave
Lyndhurst, NJ 07071-1532
Phone (201) 345-3839

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SKR Medical Advisors CurrentSince Dec 1, 2023 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Jersey Irish Medical CurrentSince Feb 1, 2023 Accepting new patients
University Hospital CurrentSince Sep 1, 2008 Accepting new patients
University Hospital CurrentSince Sep 1, 2008 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Dec 1, 2023 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

560 New York Ave
Lyndhurst, NJ 07071
Phone (201) 345-3839

150 Bergen St
Rm M219
Newark, NJ 07103
Phone (973) 972-1193

150 Bergen St
#218
Newark, NJ 07103
Phone (973) 972-3342

2100 88th St
Bldg G1A
North Bergen, NJ 07047
Phone (201) 773-1360

2100 88th St
Bldg G
North Bergen, NJ 07047
Phone (201) 345-3839

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

4200 Bergenline Ave
Union City, NJ 07087
Phone (551) 251-1948

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

Interoperability endpoints

  • FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

Organizations & group practices 7

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124230578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGHLAND AVE",
            "address_2": "APT 7",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091261",
            "telephone_number": "973-972-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "MEZZANINE 218",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "ANNETTE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00056300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "ROSADO",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "APN-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.