Mount Prospect Primary Care Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA073494 Issued in NJ

Legal business name

MOUNT PROSPECT PRIMARY CARE CENTER

Practice address

796 Mount Prospect Ave
Newark, NJ 07104-3223

Phone

(732) 226-0757

Fax

(732) 837-8514

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddie Rosa, MD

Title

Medical Doctor

Phone

(732) 226-0757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1609063445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043223",
            "telephone_number": "732-226-0757",
            "fax_number": "732-837-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043223",
            "telephone_number": "732-226-0757",
            "fax_number": "732-837-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PROSPECT PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "732-226-0757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA073494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Carmel Guild Behavioral Health System
• Mount Carmel Guild Behavioral Health System
• Mount Carmel Guild Behavioral Health System
• Mount Carmel Guild Behavioral Health Systems (Mount Carmel Guild Behavioral Health System)
• Mount Prospect Chiropractice Center
• Mohammad-Ali Mousavi, DO
• Mehrnaz Movassaghi
• Latashia Mozee, CNA
• Josephine Joanna-Marie Mozia, LSW
• Mrs. Oddie's Social Day Care Center

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.