Individual provider Active NPI

Janet Rivera Rosado, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Branford, CT
National Provider Identifier
1932543147
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5254 Issued in CT
Practice address
6 Business Park Dr
Suite 302
Branford, CT 06405-2988
Phone
(203) 483-4580
Fax
(203) 483-4581
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 005254 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5254 CT Primary

Addresses

Primary practice location

6 Business Park Dr
Suite 302
Branford, CT 06405-2988

Mailing address

6 Business Park Dr
Suite 302
Branford, CT 06405-2988
Phone (203) 483-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20140306001102 CT Practitioner - Nurse Practitioner 5698905974 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005254CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
QMG2,LLC CurrentSince Feb 9, 2020 Accepting new patients
QMG4, LLC CurrentSince Feb 9, 2020 Accepting new patients
QMG3, LLC CurrentSince Feb 9, 2020 Accepting new patients
Quentin Medical Group, LLC CurrentSince Feb 9, 2020 Accepting new patients
Multicare Medical Center CurrentSince Nov 1, 2013 Accepting new patients

Locations

4200 Main St
Bridgeport, CT 06606
Phone (203) 916-5151

161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400

1918 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 583-8400

232 Boston Post Rd
Milford, CT 06460
Phone (203) 876-2179

389 Bridgeport Ave
Shelton, CT 06484
Phone (203) 567-4171

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1932543147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 302",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-483-4580",
            "fax_number": "203-483-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 302",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-483-4580",
            "fax_number": "203-483-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROSADO",
        "first_name": "JANET",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005254",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.