Active NPI
Rosefortmd LLC
- Internal Medicine Physician
- Elizabeth, NJ
National Provider Identifier
1154014371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ROSEFORTMD LLC
- Practice address
- 240 Williamson St Ste 205
Elizabeth, NJ 07202-3672 - Phone
- (908) 289-8340
- Fax
- (908) 576-3456
- NPI assigned
- Jun 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doreen Colorio
- Title
- Billing Manager
- Phone
- (732) 673-3057
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
240 Williamson St Ste 205
Elizabeth, NJ 07202-3672
Mailing address
31 Osborne St
Bloomfield, NJ 07003-2714
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1154014371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OSBORNE ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WILLIAMSON ST STE 205",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023672",
"telephone_number": "908-289-8340",
"fax_number": "908-576-3456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEFORTMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "COLORIO",
"authorized_official_first_name": "DOREEN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "732-673-3057"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.