NPIMap

Individual provider Active NPI

Rosa M. Neno, D.O.

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1407850894
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB59240 Issued in NJ
Practice address
988 Broadway
Suite 201
Bayonne, NJ 07002-4036
Phone
(201) 339-6111
Fax
(201) 339-6333
NPI assigned
Jun 13, 2005
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB59240 NJ Primary

Addresses

Primary practice location

988 Broadway
Suite 201
Bayonne, NJ 07002-4036

Mailing address

988 Broadway
Suite 201
Bayonne, NJ 07002-4608
Phone (201) 339-6111

Other identifiers 1

IdentifierTypeStateIssuer
5576105MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000182 NJ Practitioner - Internal Medicine 4688654627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

988 Broadway
Suite 201
Bayonne, NJ 07002-4036
Phone (201) 339-6111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB59240NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
BHMG - United Medical Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Jersey City Medical Center Past Accepting new patients

Locations

988 Broadway
Ste 1
Bayonne, NJ 07002

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

988 Broadway
Ste 202
Bayonne, NJ 07002

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

Interoperability endpoints

  • Direct secure messaging: rneno123890@epicdirect.rwjbh.org
  • Direct secure messaging: rosa.neno@direct.bayonnemedicalcenter.md

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1407850894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 BROADWAY",
            "address_2": "SUITE 201",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024608",
            "telephone_number": "201-339-6111",
            "fax_number": "201-339-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 BROADWAY",
            "address_2": "SUITE 201",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024036",
            "telephone_number": "201-339-6111",
            "fax_number": "201-339-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENO",
        "first_name": "ROSA",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB59240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5576105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.