Organization Active NPI

Rose Paolini, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • East Bridgewater, MA
National Provider Identifier
1184199630
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
ROSE PAOLINI, LLC
Practice address
100 Laurel St
East Bridgewater, MA 02333-1846
Phone
(774) 266-2277
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Rosemarie Paolini, PCNS, ANPNPI 1225025877
Title
Owner
Phone
(774) 266-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

100 Laurel St
East Bridgewater, MA 02333-1846

Mailing address

100 Laurel St
East Bridgewater, MA 02333-1846
Phone (617) 372-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181214000115 MA Part B Supplier - Clinic/Group Practice 6507101805 Receives reassigned benefits from 3 practitioners
Practice locations: Mansfield, MA

National Provider Directory

National Provider Directory

Locations

100 Laurel St
Ste 210
East Bridgewater, MA 02333
Phone (617) 372-1407

100 Laurel St
East Bridgewater, MA 02333
Phone (774) 266-2277

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1184199630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAUREL ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331846",
            "telephone_number": "617-372-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAUREL ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331846",
            "telephone_number": "774-266-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PAOLINI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "PAOLINI",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-266-2277",
        "authorized_official_credential": "PCNS, ANP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.