Rosanna C Mora

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010736 Issued in NY

Practice address

63 Richmond St
Lodi, NJ 07644-2109

Phone

(973) 652-2736

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1215603519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RICHMOND ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442109",
            "telephone_number": "973-652-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RICHMOND ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442109",
            "telephone_number": "973-652-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ROSANNA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medexpress Urgent Care - Northern New Jersey, PC
• Kia Fiara Melendez, LMSW
• Jason Mendelsohn, MD
• MG RX LLC
• Augusto Paglinawan Montenegro Jr.
• Moral Orthopaedics LLC
• Angela A Moss, NP
• Candace Danielle Moxey, LMSW
• Jessica Mulhearn
• Noushin Nasri-Ghajari, DDS

• Occupational Therapy Assistant in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.