| Sue Ellen Rose, RN NPC | |
|
72 Hamburg Tpke Ste B, Riverdale, NJ 07457-1158 | |
| (973) 696-6687 | |
| (833) 488-1216 |
| Full Name | Sue Ellen Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 72 Hamburg Tpke Ste B, Riverdale, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902064983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NN07063700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chilton Medical Center | Pompton plains, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vanguard Medical Group Pa | 5092751842 | 61 |
| Entity Name | Vanguard Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073674412 PECOS PAC ID: 5092751842 Enrollment ID: O20050701000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Ellen Rose, RN NPC 271 Grove Ave Ste E, Verona, NJ 07044-1730 Ph: (973) 559-3700 | Sue Ellen Rose, RN NPC 72 Hamburg Tpke Ste B, Riverdale, NJ 07457-1158 Ph: (973) 696-6687 |
Michelle Eggart, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 18 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-831-5451 | |
Lynn Freeman Carten, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 18 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-566-5040 Fax: 973-831-5431 | |
Julie Kim, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 State Rt 23 Ste 7, Riverdale, NJ 07457 Phone: 973-248-1550 | |
Kelcey Mar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 State Rt 23 Ste 6, Riverdale, NJ 07457 Phone: 973-248-9199 | |
Prabjeet Kaur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 State Rt 23 Ste 6, Riverdale, NJ 07457 Phone: 973-248-9199 Fax: 973-248-9299 | |
Gisele Mccrea, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Hartung Ave, Riverdale, NJ 07457 Phone: 201-926-2893 |