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DR. ROLANDO SOUSA M.D.
NPI 1144277211
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Hackensack, NJ

Active since May 27, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
20 PROSPECT AVE, SUITE 905, HACKENSACK, NJ 07601(973) 222-4653(646) 304-3194 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2026, Jul 27, 2021, Mar 30, 2016 (3 updates tracked since 2016).

About Dr. Rolando Sousa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROLANDO SOUSA M.D. (NPI 1144277211) is an individual neurology with special qualifications in child neurology provider in Hackensack, New Jersey, licensed in New Jersey (25MA067803) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144277211
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. ROLANDO SOUSACredential: M.D.
Location Address20 PROSPECT AVE, SUITE 905Hackensack, NJ 07601-1997
Mailing Address15 Shadow Ridge RunWayne, NJ 07470-4956 · (973) 222-4653 · Fax (646) 304-3194
Phone(973) 222-4653
Fax(646) 304-3194
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 3, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2026
✔ NPI 1144277211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NJ · 25MA067803
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 25MA06780300 (NJ)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA06780300 (NJ)
20 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 Hamburg Tpke Ste 205Wayne, NJ 07470-2139 · Phone (973) 222-4653 · Fax (646) 304-3194
Location 2377 Jersey Ave Ste 440Jersey City, NJ 07302-4397 · Phone (973) 222-4653 · Fax (646) 304-3194

Other Identifiers 1

Medicaid0092886NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rolando Sousa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Rolando Sousa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore-Lij Medical PC
20 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Optum Medical Care, P.C.
28 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELIZABTH ANNE BILOTTI APN-BC
Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Bergen County (201) 996-5900
DR. JOSEPH B. GLOWACKI DO
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-3205
JEROME F LEVINE M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
MS. THERESA M GABAY APRN, BC
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-5251
LISA HA
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
THE CENTER FOR ADVANCED NEUROSURGERY, LLC
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601
Bergen County (201) 881-0700
BINDU A BALANI M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rolando Sousa's NPI number?

The NPI number for Rolando Sousa is 1144277211. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Rolando Sousa located?

Rolando Sousa practices at 20 Prospect Ave Suite 905, Hackensack, NJ 07601. The listed phone number is (973) 222-4653.

What is Rolando Sousa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Rolando Sousa enrolled in Medicare?

Yes. Rolando Sousa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rolando Sousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rolando Sousa reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rolando Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rolando Sousa was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.