Provider Demographics
NPI:1326926395
Name:RODRIGUEZ, ROSELINA (HAD)
Entity type:Individual
Prefix:
First Name:ROSELINA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8421 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-6660
Mailing Address - Country:US
Mailing Address - Phone:201-758-7853
Mailing Address - Fax:201-758-7854
Practice Address - Street 1:8421 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-6660
Practice Address - Country:US
Practice Address - Phone:201-758-7853
Practice Address - Fax:201-758-7854
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00162400237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist