Rowena Safronov

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01194700 Issued in NJ

Practice address

16 Devonshire Dr
Princeton, NJ 08540-6296

Phone

(609) 575-6254

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitalpoint Healthpc

  • Internal Medicine Physician
  • Hammonton, NJ
  • NPI 1205719820
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1164194890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEVONSHIRE DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406296",
            "telephone_number": "609-575-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEVONSHIRE DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406296",
            "telephone_number": "609-575-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRONOV",
        "first_name": "ROWENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01194700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "S01286730056702",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "unknown",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "16 Devonshire Dr",
            "city": "Princeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085406296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter J Ryan, BC-HIS
• Randa Rydzy, M.ED., BCBA
• Keith A Sabinsky, DDS
• Sharmila C. Sachdev, M.A., CCC-SLP
• Shama Safdar, PA-C
• Sage Creations Therapy LLC
• Sage Sea DBT LLC
• Aparna Sahoo, DO
• Adel G. Said
• Hesham Saleh, MD

• Nurse Practitioner in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.