Nicole Roselle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01769600 Issued in NJ

Practice address

42 Cook Ave
Madison, NJ 07940-1846

Phone

(973) 295-6460

NPI assigned

Jan 4, 2018

Last updated

Jan 4, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1194232777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SANDY POINT DR",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078491367",
            "telephone_number": "631-241-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 COOK AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401846",
            "telephone_number": "973-295-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLE",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01769600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Romano, DC
• Samuel Romano, D.M.D.
• Stephanie Marie Ronco
• Tamar Roodner, DDS
• Carolyn Grace Rooney, PH.D.
• Jason Rothenberg, DMD, MS
• Jennifer Rothman, PT, DPT
• Maria Royce, RDN
• Anthony Russo, MD
• Catherine Ruz, MA OTR, MSJ, CAPS

• Physical Therapist in Madison, NJ
• Providers in Madison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.