Rosanna Hodesto MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA62208 Issued in NJ

Legal business name

ROSANNA HODESTO MD PA

Practice address

773 Teaneck Road
Teaneck, NJ 07666

Phone

(201) 837-7662

Fax

(201) 837-7446

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Rosanna Modesto, MDNPI 1306856778

Title

Internal Medicine

Phone

(201) 837-7662

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rosanna Modesto MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rosanna Modesto MD PA

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1427494954
  NPD tax ID

Practitioners 1

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

• Rosanna Modesto, MD

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1306856778
  NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831206176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-837-7662",
            "fax_number": "201-837-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-837-7662",
            "fax_number": "201-837-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANNA HODESTO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MODESTO",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "201-837-7662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA62208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "658605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Romanoff
• Jose A Romero, LAC
• Adi Ronen
• Roque Medical LLC
• Ashley Mireya Rosado
• Rosanna Modesto MD PA
• Eric Rose, PH.D.
• Phillip D Rose, PA-C
• Amy Rosen, MD
• Howard David Rosen, DMD

• Internal Medicine Physician in Teaneck, NJ
• Providers in Teaneck, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.