Audra Rose

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00064000 Issued in NJ

Practice address

65 Bergen St
#601
Newark, NJ 07107-3001

Phone

(973) 972-0186

Fax

(973) 972-2645

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861619991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 PARK AVE",
            "address_2": "#1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303707",
            "telephone_number": "201-386-1809",
            "fax_number": "201-386-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST",
            "address_2": "#601",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-0186",
            "fax_number": "973-972-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "AUDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00064000",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00064000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Rosa, MD
• Annette Lee Rosado, APN
• Jasmyn Rosales
• Anthony Russell Rosania III, M.D.
• Rose Garden Nutrition Inc
• Catherine Rose
• Moshe Rose, MD
• George Fredrick Rosemond Jr., MA IN COUNSELING
• Halia Rosemond
• Benjamin Joseph Rosen, MD

• Occupational Therapist in Newark, NJ
• Providers in Newark, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.