Active NPI
Rita Guevarra De la Rosa, MD
- Pediatrics Physician
- Jersey City, NJ
National Provider Identifier
1467532283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA035723
- Practice address
- 779 Bergen Ave
Suite 205
Jersey City, NJ 07306-4552 - Phone
- (201) 433-0660
- Fax
- (201) 433-0444
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA035723 | NJ | Primary |
Addresses
Primary practice location
779 Bergen Ave
Suite 205
Jersey City, NJ 07306-4552
Mailing address
779 Bergen Ave
Suite 205
Jersey City, NJ 07306-4552
Phone (201) 433-0660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3842703 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA035723 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients |
Interoperability endpoints
- rita.delarosa@direct.christhospital.md
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467532283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 BERGEN AVE",
"address_2": "SUITE 205",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064552",
"telephone_number": "201-433-0660",
"fax_number": "201-433-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 BERGEN AVE",
"address_2": "SUITE 205",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064552",
"telephone_number": "201-433-0660",
"fax_number": "201-433-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "RITA",
"middle_name": "GUEVARRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA035723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3842703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.