Healthcare Provider Details

I. General information

NPI: 1982433199
Provider Name (Legal Business Name): ROSE MELODY F CIMAFRANCA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 LAFAYETTE RD STE 101
SPARTA NJ
07871-3560
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 973-862-5700
  • Fax:
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15103400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: