Individual provider Active NPI

Rose E Rene

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1053911784
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309939 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309939 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd
Bronx, NY 10461-2507
Phone (718) 618-0401

Other practice location 1

19304 Horace Harding Expy Apt 2F
Fresh Meadows, NY 11365-2820
Phone (718) 276-7935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001862 NY Practitioner - Nurse Practitioner 2961818752 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Medical Associates, PCGroup PAC ID 9335401454, 63 clinicians
Expert Medical Services LLCGroup PAC ID 4284651738, 41 clinicians
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

100 Granny Rd
Suite 1
Farmingville, NY 11738-2879
Phone (631) 696-4357

33 Manors Dr
Jericho, NY 11753-1729
Phone 7182767935800

35 N Tyson Ave
Suite 100
Floral Park, NY 11001-1403
Phone (718) 276-7935

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F309939NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Mar 26, 2021 Accepting new patients
Housecalls Medicine Ny East PC CurrentSince Nov 12, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Mar 26, 2021 Accepting new patients
Housecalls Medicine Ny West PC CurrentSince Nov 12, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Mar 26, 2021 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Jun 1, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 26, 2021 Accepting new patients
Sheryl a Pearl MD PC CurrentSince Oct 15, 2022 Accepting new patients
Expert Medical Services LLC CurrentSince Dec 1, 2020 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Mar 26, 2021 Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1434 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 597-1434

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

140 Lockwood Ave
Ste 308
New Rochelle, NY 10801
Phone (914) 636-5700

5 Penn Plz
Fl 19
New York, NY 10001
Phone (718) 360-9370

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1053911784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19304 Horace Harding Expy Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113652820",
            "country_code": "US",
            "telephone_number": "718-276-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENE",
        "first_name": "ROSE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.