Individual provider Active NPI

Judy L Rooney, APN

  • Pediatric Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1467989418
Registry record updated May 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00701600 Issued in NJ
Practice address
171 Elmora Ave FL 3
Elizabeth, NJ 07202-1169
Phone
(908) 289-2239
Fax
(908) 289-2239
NPI assigned
May 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00701600 NJ Primary

Addresses

Primary practice location

171 Elmora Ave FL 3
Elizabeth, NJ 07202-1169

Mailing address

327 Carolina St
Clark, NJ 07066-1105
Phone (201) 289-4076

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00701600NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naveen Mehrotra, MD, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: judy.rooney.1@19323.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495238400000",
    "number": "1467989418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CAROLINA ST",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661105",
            "telephone_number": "201-289-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELMORA AVE FL 3",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021169",
            "telephone_number": "908-289-2239",
            "fax_number": "908-289-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "JUDY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00701600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.