Roseville Health Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROSEVILLE HEALTH CARE LLC

Practice address

285 Roseville Ave
Newark, NJ 07107-1703

Phone

(973) 481-2200

Fax

(973) 481-3200

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Mary Williams Cudjoe, CALA

Title

Owner

Phone

(973) 481-2200

Specialties & licenses 1

Addresses

Other names 1

• Roseville Manor Doing business as

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1285898924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COUNTY ROAD 513",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088675031",
            "telephone_number": "973-481-2200",
            "fax_number": "973-481-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 ROSEVILLE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071703",
            "telephone_number": "973-481-2200",
            "fax_number": "973-481-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CUDJOE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-481-2200",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Rosenberg, MD
• Joshua Rosenblatt, MD
• Arnold Herman Rosenheck, DMD
• Yael Ellie Rosenski
• Yana Rosensteyn, D.D.S.
• Roseville Health Center Inc.
• Roseville Medical Group PA
• Roseville Medical Society LLC
• Roseville Pediatric Care Center, P.a.
• Konrad Roslonek, PT, DPT

• Assisted Living Facility in Newark, NJ
• Providers in Newark, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.