Individual provider Active NPI

Roselle Monica Pascual David, MSN, RN

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1871130005
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01170400 Issued in NJ
Practice address
1003 Main Ave Ste 101
Clifton, NJ 07011-2333
Phone
(973) 928-3088
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345265-01 NY
Family Nurse Practitioner 363LF0000X 26NJ01170400 NJ Primary

Addresses

Primary practice location

1003 Main Ave Ste 101
Clifton, NJ 07011-2333

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (973) 928-3088

Other practice location 1

511 Franklin Ave Apt B1
Belleville, NJ 07109-1568
Phone (862) 596-1248

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823000007 NJ Practitioner - Nurse Practitioner 6800279944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone (908) 766-0034

207 Lakeview Ave
Clifton, NJ 07011-4016
Phone (856) 872-7055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F345265-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Aug 1, 2022 Accepting new patients
Advocare , LLC CurrentSince Aug 1, 2022 Accepting new patients
Advocare, LLC PastSince Feb 19, 2023 Accepting new patients
Advocare, LLC Past Accepting new patients
Advocare , LLC PastSince Feb 19, 2023 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Organizations & group practices 5

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1871130005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "973-928-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MAIN AVE STE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112333",
            "telephone_number": "973-928-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Franklin Ave Apt B1",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071091568",
            "country_code": "US",
            "telephone_number": "862-596-1248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "ROSELLE MONICA",
        "middle_name": "PASCUAL",
        "name_prefix": "Miss",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345265-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01170400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.