Individual provider Active NPI

Rosemarie Zantua, NP

  • Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1760711006
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00268800 Issued in NJ
Practice address
258 N New Rd
Pleasantville, NJ 08232-2170
Phone
(609) 646-4064
Fax
(609) 272-8526
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00268800 NJ Primary

Addresses

Primary practice location

258 N New Rd
Pleasantville, NJ 08232-2170

Mailing address

258 N New Rd
Pleasantville, NJ 08232-2170
Phone (609) 646-4064

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000260 NJ Practitioner - Nurse Practitioner 1850434143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Internal Medicine Associates P.C.Group PAC ID 2163570706, 2 clinicians

Practice addresses (Care Compare)

1004 S New Rd
Pleasantville, NJ 08232-3730
Phone (609) 652-4141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00268800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Internal Medicine Associates, PC CurrentSince Sep 10, 2023 Accepting new patients
Regional Pain Care PC CurrentSince Sep 10, 2023 Accepting new patients

Locations

1004 S New Rd
Pleasantville, NJ 08232
Phone (609) 652-4141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1760711006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322170",
            "telephone_number": "609-646-4064",
            "fax_number": "609-272-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 N NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322170",
            "telephone_number": "609-646-4064",
            "fax_number": "609-272-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANTUA",
        "first_name": "ROSEMARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00268800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.