Rosedale Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07505700 Issued in NJ

Legal business name

ROSEDALE MEDICAL PC

Practice address

415 Avenel St
Avenel, NJ 07001-1147

Phone

(732) 636-7888

Fax

(732) 636-7887

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samina A Syed-Naqvi, MD

Title

President

Phone

(732) 634-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFAIBD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1992983522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-636-7888",
            "fax_number": "732-636-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-636-7888",
            "fax_number": "732-636-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "SYED-NAQVI",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-634-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07505700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150452",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward S Rittweger, M.D.
• James Rodriguez, D.M.D
• Michel Rodriguez
• David L Romano, MD
• Giuseppe Romano, DC
• Anna Rossi, D.O.
• Thomas Edward Rumage, DMD
• Paul Saks, DPM PA
• Sam Solution LLC
• Charles A Saniewski, M.D.

• Internal Medicine Physician in Avenel, NJ
• Providers in Avenel, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.