Healthcare Provider Details

I. General information

NPI: 1154570018
Provider Name (Legal Business Name): KATE ROSSETTIE M.S.N., N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 SPRINGFIELD AVE STE 201
SUMMIT NJ
07901-2622
US

IV. Provider business mailing address

467 SPRINGFIELD AVE STE 201
SUMMIT NJ
07901-2622
US

V. Phone/Fax

Practice location:
  • Phone: 484-483-6609
  • Fax: 833-427-1471
Mailing address:
  • Phone: 484-483-6609
  • Fax: 833-427-1471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00566500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: