Suleima Rosario-Diaz, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00505800 Issued in NJ

Practice address

152 Central Ave
Clark, NJ 07066-1115

Phone

(732) 382-9700

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1689080434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MYRTLE AVE",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271214",
            "telephone_number": "201-792-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CENTRAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661115",
            "telephone_number": "732-382-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-DIAZ",
        "first_name": "SULEIMA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00505800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Renda
• Jonathan Renelle, MS, ATC
• Michelle Restrepo, DPT
• Johannna Reyes
• Jessica Romain, LPC
• Chloe Rothenberg, DPT
• Meredith Rothenberg, AU.D.
• Jacob Nathan Rozencwaig, PHARMD.
• Michele B Rubin, EDD
• Edward Michael Rucki, RPH CCP CGP

• Adult Health Nurse Practitioner in Clark, NJ
• Providers in Clark, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.