Rosa Maria Fernandez, ED. D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00473300 Issued in NJ

Practice address

534 Clifton Ave
Clifton, NJ 07011-3230

Phone

(973) 777-6490

Fax

(973) 777-6491

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peace and Wellness Center LLC

  • Clinic/Center
  • Clifton, NJ
  • NPI 1942713813
  NPD

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1497308332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113230",
            "telephone_number": "973-777-6490",
            "fax_number": "973-777-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113230",
            "telephone_number": "973-777-6490",
            "fax_number": "973-777-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "ED. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00473300",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00473300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ference, DMD
• Tashonda Ferguson, PTA
• Andrea Fernandez, DDS
• Orietta Magaly Fernandez, MANUAL THERAPIST
• Oscar M Fernandez
• Gina Marie Ferrara, MS, OTR/L
• Marissa Ferrazzo-Weller, D.O.
• Ashley Ferreira
• Delia M. Ferrer Garcia, O.D.
• Yaslin S Ferrufino Moreira

• Clinical Psychologist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.