Healthcare Provider Details

I. General information

NPI: 1972470656
Provider Name (Legal Business Name): JAMES H ROSSO FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAIME ROSSO

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 RHODES CIR
HINGHAM MA
02043-1530
US

IV. Provider business mailing address

22 RHODES CIR
HINGHAM MA
02043-1530
US

V. Phone/Fax

Practice location:
  • Phone: 774-238-9837
  • Fax:
Mailing address:
  • Phone: 774-238-9837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2322638
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: