Provider Demographics
NPI:1932190063
Name:ROSATO, TRINAE SMARGIASSI (OD)
Entity type:Individual
Prefix:DR
First Name:TRINAE
Middle Name:SMARGIASSI
Last Name:ROSATO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ALPHA
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-4525
Mailing Address - Country:US
Mailing Address - Phone:908-859-4433
Mailing Address - Fax:908-859-1887
Practice Address - Street 1:901 3RD AVE
Practice Address - Street 2:
Practice Address - City:ALPHA
Practice Address - State:NJ
Practice Address - Zip Code:08865-4525
Practice Address - Country:US
Practice Address - Phone:908-859-4433
Practice Address - Fax:908-859-1887
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00568400152W00000X
NJ27TO00107900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046818Medicare ID - Type Unspecified
NJU84436Medicare UPIN