Active NPI
Anastasia Rose, PA
- Physician Assistant
- Perth Amboy, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00660900
- Practice address
- 530 New Brunswick Ave
Perth Amboy, NJ 08861-3654 - Phone
- (732) 324-6025
- Fax
- (732) 324-3336
- NPI assigned
- Jul 19, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | 25MP00660900 | NJ | Primary |
Addresses
Primary practice location
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Mailing address
401 Hackensack Ave Ste 104
Hackensack, NJ 07601-6445
Phone (201) 979-8910
Other practice location 1
401 Hackensack Ave Ste 104
Hackensack, NJ 07601-6445
Phone (201) 979-8910
Other practice location 2
347 Mount Pleasant Ave Ste 103
West Orange, NJ 07052-2745
Phone (973) 571-2121
Other practice location 3
1 Hospital Plz
Old Bridge, NJ 08857-3012
Phone (732) 324-6028
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 324-5073
30 Prospect Ave
Hackensack, NJ 07601-1915
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (848) 309-1436
Hospital & facility affiliations
- Raritan Bay Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00660900 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| The Dermatology Group | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158
530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007
Interoperability endpoints
- arose704253@ahs.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IHJHBD
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Dermatology Physician
- West Orange, NJ
- NPI 1962428474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1992313688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HACKENSACK AVE STE 104",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016445",
"telephone_number": "201-979-8910",
"fax_number": "201-979-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NEW BRUNSWICK AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613654",
"telephone_number": "732-324-6025",
"fax_number": "732-324-3336"
}
],
"practiceLocations": [
{
"address_1": "401 Hackensack Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076016445",
"country_code": "US",
"telephone_number": "201-979-8910",
"fax_number": "201-979-8909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "347 Mount Pleasant Ave Ste 103",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070522745",
"country_code": "US",
"telephone_number": "973-571-2121",
"fax_number": "973-498-0535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Plz",
"address_purpose": "LOCATION",
"city": "Old Bridge",
"state": "NJ",
"postal_code": "088573012",
"country_code": "US",
"telephone_number": "732-324-6028",
"fax_number": "732-324-3336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "ANASTASIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-19",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00660900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.