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NPI Code Detail

MEDICARE: DR. FRANK ANTHONY ROTELLA D.O.

MEDICARE:  DR. FRANK ANTHONY ROTELLA  D.O.
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
1207Q00000XFamily Medicine PhysicianMB25053NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801991393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK ANTHONY ROTELLA D.O.
Provider Business Mailing Address
First Line : 600 PAVONIA AVE
Second Line : 2ND FLOOR
City : JERSEY CITY
State : NJ
Zip : 07306-2929
Country : US
Telephone Number : 201-216-3030
Fax Number : 201-499-0247
Provider Business Practice Location Address
First Line : 600 PAVONIA AVE
Second Line : 2ND FLOOR
City : JERSEY CITY
State : NJ
Zip : 07306-2929
Country : US
Telephone Number : 201-216-3030
Fax Number : 201-499-0247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 03/22/2026

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Directions to “ DR. FRANK ANTHONY ROTELLA D.O.” Practice Location

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