MEDICARE: ROVITA COLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	SP034961	PA
2	363LA2100X	Acute Care Nurse Practitioner	26NJ15496500	NJ

General Provider Information

NPI Number	:	1396603759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROVITA COLE

Provider Business Mailing Address
First Line	:	289 WESTBROOK DR
Second Line	:
City	:	CLIFTON HEIGHTS
State	:	PA
Zip	:	19018-1118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 COOPER PLZ
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1461
Country	:	US
Telephone Number	:	800-826-6737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ROVITA COLE ” Practice Location

Language	Start Address	Practice Location

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