Active NPI
Pink Rose Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Matawan, NJ
National Provider Identifier
1982568028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PINK ROSE PSYCHIATRY LLC
- Practice address
- 171 Main St Ste 105-106
Matawan, NJ 07747-3186 - Phone
- (732) 858-0140
- Fax
- (732) 889-2088
- NPI assigned
- Dec 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Peresipa, APN
- Title
- Owner
- Phone
- (718) 877-4085
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
171 Main St Ste 105-106
Matawan, NJ 07747-3186
Mailing address
844 Holmdel Rd
Holmdel, NJ 07733-1731
Phone (718) 877-4085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
171 Main St
Ste 105106
Matawan, NJ 07747
Phone (732) 858-0140
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Belle Mead, NJ
- NPI 1780491654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1982568028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 HOLMDEL RD",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331731",
"telephone_number": "718-877-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MAIN ST STE 105-106",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473186",
"telephone_number": "732-858-0140",
"fax_number": "732-889-2088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINK ROSE PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-12",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A",
"authorized_official_last_name": "PERESIPA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-877-4085",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.