DR. ROLANDO SOUSA M.D. NPI 1144277211

NPI Information

NPI: 1144277211
Provider Name: DR. ROLANDO SOUSA, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
20 PROSPECT AVE
SUITE 905
HACKENSACK, NJ
ZIP 07601
Phone: (973) 222-4653
Get Directions

DR. Rolando Sousa, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Hackensack, NJ. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Rolando Sousa, M.D. NPI is 1144277211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 PROSPECT AVE
SUITE 905
HACKENSACK, NJ
ZIP 07601-997
Phone: (973) 222-4653
Fax: (646) 304-3194

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		25MA06780300	NEW JERSEY	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	25MA067803	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0092886	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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