Healthcare Provider Details

I. General information

NPI: 1619562501
Provider Name (Legal Business Name): ANDREW M ROLLINS MSN, RN, APN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

IV. Provider business mailing address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

V. Phone/Fax

Practice location:
  • Phone: 732-390-7750
  • Fax:
Mailing address:
  • Phone: 732-390-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01143000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: