Rosa Maria Fernandez, Ed. D
Psychologist, Clinical in Clifton, NJ. Individual provider (NPI-1).
NPI number1497308332
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1497308332
- Entity type
- Individual (NPI-1)
- Name
- Rosa Maria Fernandez
- Credential
- Ed. D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2019
- Last updated
- Sep 27, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35SI00473300 | NJ | Yes |
| 103TC1900X | Psychologist, Counseling | 35SI00473300 | NJ |
Practice location
534 Clifton AveClifton, NJ 07011-3230
Phone 973-777-6490 · Fax 973-777-6491
Mailing address
534 Clifton AveClifton, NJ 07011-3230
Phone 973-777-6490 · Fax 973-777-6491
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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