Active NPI
Donna C. Roosa, CNM, MS
- Advanced Practice Midwife
- Morristown, NJ
National Provider Identifier
1922080712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00017301
- Practice address
- 25 Lindsley Drive
Suite 201 a
Morristown, NJ 07960-4456 - Phone
- (973) 998-7922
- Fax
- (973) 998-7925
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00017301 | NJ | Primary |
Addresses
Primary practice location
25 Lindsley Drive
Suite 201 a
Morristown, NJ 07960-4456
Mailing address
PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4524004 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | donna.roosa@axia.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morristown Postpartum | Current | Accepting new patients | |
| Avalon. a Center for Women's Health | Advanced Practice Midwife | Past | Accepting new patients |
| Lifeline Medical Associates, LLC | Past | Accepting new patients |
Locations
25 Lindsley Dr
Ste 201
Morristown, NJ 07960
Phone (973) 828-8010
Interoperability endpoints
- donna.roosa.1@27010.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
dba Avalon Women's Health
- Advanced Practice Midwife
- Morristown, NJ
- NPI 1760424477
-
- Home Health Agency
- Morristown, NJ
- NPI 1053929067
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1922080712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22581",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100872581",
"telephone_number": "856-669-6050",
"fax_number": "856-528-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LINDSLEY DRIVE",
"address_2": "SUITE 201 A",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079604456",
"telephone_number": "973-998-7922",
"fax_number": "973-998-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOSA",
"first_name": "DONNA",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "CNM, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00017301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4524004",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "donna.roosa@axia.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "25 Lindsley Drive",
"address_2": "Suite 201 A",
"city": "Morristown",
"state": "NJ",
"country_code": "US",
"postal_code": "079604456",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.