Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mount Prospect Primary Care Center

Organization Internal Medicine Physician · NPI 1609063445

Mount Prospect Primary Care Center is an Internal Medicine Physician in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

796 Mount Prospect Ave
Newark, NJ 07104-3223
Phone: (732) 226-0757
Fax: (732) 837-8514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA073494 (NJ)

Record details

NPI number1609063445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eddie Rosa — Medical Doctor · (732) 226-0757
NPI enumeratedSeptember 25, 2007
Last updated in NPPESSeptember 25, 2007
Mailing address796 Mount Prospect Ave, Newark, NJ 07104-3223

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