Provider Demographics
NPI:1710310156
Name:ROZEN, AMY I (RN, CCH)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:I
Last Name:ROZEN
Suffix:
Gender:F
Credentials:RN, CCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-1405
Mailing Address - Country:US
Mailing Address - Phone:973-586-4445
Mailing Address - Fax:
Practice Address - Street 1:20 ELM ST.
Practice Address - Street 2:THE REMEDY CENTER
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-993-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR17180700163W00000X
175L00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163W00000XNursing Service ProvidersRegistered Nurse
Yes175L00000XOther Service ProvidersHomeopath