Individual provider Active NPI

Rosanna Hilario, D.D.S

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1518033380
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16744 Issued in FL
Practice address
2907 Vineland Rd
Kissimmee, FL 34746-5505
Phone
(407) 396-1288
NPI assigned
Nov 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI020627 NJ
General Practice Dentistry 1223G0001X DN16744 FL Primary

Addresses

Primary practice location

2907 Vineland Rd
Kissimmee, FL 34746-5505

Mailing address

244 Paulison Ave
Passaic, NJ 07055-3806
Phone (973) 778-7272

Other practice location 1

244 Paulison Ave
Passaic, NJ 07055-3806
Phone (973) 778-7272

Other identifiers 2

IdentifierTypeStateIssuer
8366209MedicaidNJ
014861OtherNJAMERIGROUP ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204001612 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466752902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16744FLMDGeneral Practice Dentistry
DI020627NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Past Accepting new patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1518033380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 PAULISON AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553806",
            "telephone_number": "973-778-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 VINELAND RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465505",
            "telephone_number": "407-396-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Paulison Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070553806",
            "country_code": "US",
            "telephone_number": "973-778-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILARIO",
        "first_name": "ROSANNA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI020627",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8366209",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID NUMBER",
            "identifier": "014861",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.