Healthcare Provider Details

I. General information

NPI: 1831009703
Provider Name (Legal Business Name): ANA M ROSADO LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 6TH ST
RIDGEFIELD PARK NJ
07660-1020
US

IV. Provider business mailing address

115 6TH ST
RIDGEFIELD PARK NJ
07660-1020
US

V. Phone/Fax

Practice location:
  • Phone: 973-932-9933
  • Fax:
Mailing address:
  • Phone: 973-932-9933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07450000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: