Organization Active NPI

Rosemarie Spinelli-Drenth LLC

  • Internal Medicine Physician
  • Hawthorne, NJ
National Provider Identifier
1811518822
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROSEMARIE SPINELLI-DRENTH LLC
Practice address
169 Lafayette Ave
Hawthorne, NJ 07506-2613
Phone
(201) 701-1044
Fax
(201) 500-1002
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Rosemarie Spinelli-Drenth, NPNPI 1902982986
Title
Owner/Nurse Practioner
Phone
(201) 701-1044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

169 Lafayette Ave
Hawthorne, NJ 07506-2613

Mailing address

169 Lafayette Ave
Hawthorne, NJ 07506-2613
Phone (201) 701-1044

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://docs.glaceemr.com/Glenwood/? Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527000457 NJ Part B Supplier - Clinic/Group Practice 4880015049 Receives reassigned benefits from 1 practitioner
Practice locations: Hawthorne, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1811518822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062613",
            "telephone_number": "201-701-1044",
            "fax_number": "201-500-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062613",
            "telephone_number": "201-701-1044",
            "fax_number": "201-500-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIE SPINELLI-DRENTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "SPINELLI-DRENTH",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTIONER",
        "authorized_official_telephone_number": "201-701-1044",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://docs.glaceemr.com/Glenwood/?",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "169 Lafayette Ave",
            "city": "Hawthorne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075062613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.