Individual provider Active NPI

Rolande Alam Mirone, DO

  • Pediatrics Physician
  • Vineland, NJ
National Provider Identifier
1134327786
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB08243100 Issued in NJ
Practice address
1318 S Main Rd
Building 1
Vineland, NJ 08360-6516
Phone
(856) 691-8585
Fax
(856) 691-8489
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB08243100 NJ Primary

Addresses

Primary practice location

1318 S Main Rd
Building 1
Vineland, NJ 08360-6516

Mailing address

1318 S Main Rd
Building 1
Vineland, NJ 08360-6516
Phone (856) 691-8585

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08243100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BCD Health Partners Pediatrics Past Accepting new patients
Tendercare Pediatrics Past Accepting new patients
Pediatric Associates LLC Pediatrics Past Accepting new patients

Organizations & group practices 3

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1134327786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-691-8585",
            "fax_number": "856-691-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-691-8585",
            "fax_number": "856-691-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRONE",
        "first_name": "ROLANDE",
        "middle_name": "ALAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08243100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.