Individual provider Active NPI

Roseline K. Sele-Williams, APN

  • Family Nurse Practitioner
  • Perth Amboy, NJ
National Provider Identifier
1801536172
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01278000 Issued in NJ
Practice address
382 Great Beds CT
Perth Amboy, NJ 08861-5200
Phone
(973) 573-3656
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01278000 NJ Primary

Addresses

Primary practice location

382 Great Beds CT
Perth Amboy, NJ 08861-5200

Mailing address

382 Great Beds CT
Perth Amboy, NJ 08861-5200
Phone (973) 573-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01278000NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1801536172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 GREAT BEDS CT",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615200",
            "telephone_number": "973-573-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 GREAT BEDS CT",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615200",
            "telephone_number": "973-573-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELE-WILLIAMS",
        "first_name": "ROSELINE",
        "middle_name": "K.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01278000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.