Individual provider Active NPI

Niurka La Rosa, M.D.

  • Pediatrics Physician
  • Guttenberg, NJ
National Provider Identifier
1811150246
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08375200 Issued in NJ
Practice address
6900 Park Ave Ste 3
Guttenberg, NJ 07093-4483
Phone
(201) 766-0086
Fax
(201) 766-0094
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08375200 NJ Primary
Pediatrics Physician 208000000X 249225 NY

Addresses

Primary practice location

6900 Park Ave Ste 3
Guttenberg, NJ 07093-4483

Mailing address

6900 Park Ave
Suite 3
Guttenberg, NJ 07093-4482
Phone (201) 779-4732

Other identifiers 2

IdentifierTypeStateIssuer
31809MedicaidNY
0255700MedicaidNJ

Other names 1

  • Niurka La Rosa Former name

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
I20110516000833 NJ Practitioner - Pediatric Medicine 7517028145 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249225NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Rosa Pediatrics Inc. Pediatrics CurrentSince Dec 21, 2025 Accepting new patients
Humc Opco LLC Current Accepting new patients
Syracuse Community Health Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: niurka.larosa@direct.hobokenumc.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1811150246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PARK AVE",
            "address_2": "SUITE 3",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934482",
            "telephone_number": "201-779-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PARK AVE STE 3",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934483",
            "telephone_number": "201-766-0086",
            "fax_number": "201-766-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROSA",
        "first_name": "NIURKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08375200",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31809",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIURKA",
            "last_name": "LA ROSA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guttenberg, NJ

Sources for this page

Verify at the official NPI Registry.