Rosa Ital, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06400000 Issued in NJ

Practice address

1140 Burnt Tavern Rd
Brick, NJ 08724-1496

Phone

(732) 477-2264

Fax

(732) 477-2599

NPI assigned

Jan 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420

  Internal Medicine

  NPD (past)
• Medical Health Center, P.a.

  • Cardiovascular Disease Physician
  • Middletown, NJ
  • NPI 1720083116

  Internal Medicine

  NPD (past)
• T.a.E.L.L.C.

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1558430546
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831178235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "732-477-2264",
            "fax_number": "732-477-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "732-477-2264",
            "fax_number": "732-477-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITAL",
        "first_name": "ROSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06400000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "25MA06400000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS LIC",
            "identifier": "D07019700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iron Recovery and Wellness Center Inc
• Iron Recovery and Wellness Center Inc
• Iron Recovery and Wellness Center Inc
• Jamilia Isabekova, MD
• Omar Ismail, PHARMD
• Artur Ivchenko
• J C Orthopedic Inc
• J Townley Construction LLC
• J.C. Orthopedic Inc
• Melissa Jackson, LAC

• Internal Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.