Individual provider Active NPI

Anna Maria Rose, ADULT NURSE PRACTITI

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1013075332
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301194 Issued in NY
Practice address
1400 Pelham Parkway
Jacobi Medical Center
Bronx, NY 10461-1138
Phone
(718) 918-6079
Fax
(718) 918-7788
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 3004511 NY
Adult Health Nurse Practitioner 363LA2200X F301194 NY Primary

Addresses

Primary practice location

1400 Pelham Parkway
Jacobi Medical Center
Bronx, NY 10461-1138

Mailing address

14 Mockingbird Court
Anna Rose
Hopewell Junction, NY 12533-5246
Phone (845) 227-5606

Other names 1

  • Anna Maria Rodruguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004511NYMDRegistered Nurse
F301194NYMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1013075332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOCKINGBIRD COURT",
            "address_2": "ANNA ROSE",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335246",
            "telephone_number": "845-227-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY",
            "address_2": "JACOBI MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-6079",
            "fax_number": "718-918-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3004511",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "RODRUGUEZ",
            "middle_name": "MARIA",
            "credential": "ADULT NURSE PRACTITI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.