Healthcare Provider Details

I. General information

NPI: 1437071354
Provider Name (Legal Business Name): JOSE FRANCISCO RODRIGUEZ-ROSARIO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BEAUVOIR AVE
SUMMIT NJ
07901-3533
US

IV. Provider business mailing address

590 MAPLE AVE APT 2
RAHWAY NJ
07065-2682
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-2000
  • Fax:
Mailing address:
  • Phone: 908-468-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number26NR25828700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: