Individual provider Active NPI

Rowena Rebano Francisco, MD

  • Psychiatry Physician
  • Secaucus, NJ
National Provider Identifier
1518045954
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA47734 Issued in NJ
Practice address
595 County Ave
BLDG-10
Secaucus, NJ 07094
Phone
(201) 369-5252
Fax
(201) 369-5261
NPI assigned
Nov 2, 2006
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA47734 NJ Primary

Addresses

Primary practice location

595 County Ave
BLDG-10
Secaucus, NJ 07094

Mailing address

595 County Ave
BLDG-10
Secaucus, NJ 07094-2605
Phone (201) 369-5252

Other identifiers 2

IdentifierTypeStateIssuer
527486OtherNJAGENCY MEDICARE NUMBER
0023701MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000107 NJ Practitioner - Psychiatry 1658511357 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA47734NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Co Board of Chosen Freehold Admin CurrentSince Jun 10, 2015 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Jan 8, 2020 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry Current Accepting new patients

Locations

100 Metroplex Dr
Fl 2
Edison, NJ 08817

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

595 County Ave
Secaucus, NJ 07094
Phone (201) 369-5252

595 County Ave
Bldg 10
Secaucus, NJ 07094
Phone (201) 319-3667

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1518045954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 COUNTY AVE",
            "address_2": "BLDG-10",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942605",
            "telephone_number": "201-369-5252",
            "fax_number": "201-369-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 COUNTY AVE",
            "address_2": "BLDG-10",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "07094",
            "telephone_number": "201-369-5252",
            "fax_number": "201-369-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCISCO",
        "first_name": "ROWENA",
        "middle_name": "REBANO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA47734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICARE NUMBER",
            "identifier": "527486",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.