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

Marisa Rodriguez

Individual provider Primary Care Nurse Practitioner · NPI 1336012111

Marisa Rodriguez is a Primary Care Nurse Practitioner in Roseland, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

189 Eagle Rock Ave
Roseland, NJ 07068-1347
Phone: (973) 441-1324
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ15417200 (NJ)

Record details

NPI number1336012111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address542 Summer Ave Apt 3, Newark, NJ 07104-5473