Rosa Ital, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROSA ITAL, MD INC

Practice address

1140 Burnt Tavern Rd Ste 2a
Brick, NJ 08724-1496

Phone

(732) 202-7307

Fax

(732) 349-5229

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Rosa Ital, MD

Title

Owner

Phone

(732) 281-7140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1124668629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CITATION DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284659",
            "telephone_number": "732-281-7140",
            "fax_number": "732-349-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD STE 2A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "732-202-7307",
            "fax_number": "732-349-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA ITAL, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "ITAL",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-281-7140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Roland, LPC
• Anastasia Romano
• Lauren Alyssa Romao
• Kelsey Roon
• Mary Celeste Rorro, D.O.
• Rosanne Vantuono MD PA
• Jefrey D Roseff, DC
• Yehuda Rosen, PHD
• Soroh Rosenblatt
• Miriam Rosenblum, FNP

• Internal Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.