SUE ELLEN ROSE RN NPC NPI 1902064983

NPI Details

Sue Ellen Rose, RN NPC is a family nurse practitioner in Riverdale, NJ with 27 years of experience. Sue Ellen Rose, RN NPC NPI is 1902064983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

72 HAMBURG TPKE STE B
RIVERDALE, NJ
ZIP 07457-158
Phone: (973) 696-6687
Fax: (833) 488-1216

The NPI 1902064983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Assessment of emotional or behavioral problems (HCPCS:96127)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Advance care planning, first 30 minutes (HCPCS:99497)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Annual depression screening, 15 minutes (HCPCS:G0444)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Pneumococcal vaccine, 13-valent (HCPCS:90670)
• Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 5/27/2008 and was last updated on 4/16/2025.

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: