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

Sue Ellen Rose, RNNPC

Individual provider Family Nurse Practitioner · NPI 1902064983

Sue Ellen Rose, RNNPC is a Nurse Practitioner in Riverdale, New Jersey. Qualified in 1999, 27 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
27
Licensed in
NJ
In the registry since
2008

Practice location Address checks out

72 Hamburg Tpke Ste B
Riverdale, NJ 07457-1158
Phone: (973) 696-6687
Fax: (833) 488-1216
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NN07063700 (NJ)

Record details

NPI number1902064983
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNNPC
Sole proprietorNo
NPI enumeratedMay 27, 2008
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Vanguard Medical Group Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverdale