Jeffrey Scott Roos, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

560742 Issued in NY

Practice address

557A Connor Rd
West Point, NY 10996-1208

Phone

(706) 573-1794

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Port Jervis Anesthesiology Associates, PLLC

  • Hospice and Palliative Medicine (Anesthesiology) Physician
  • Port Jervis, NY
  • NPI 1699984427
  NPD (past)
• Ramapo Anesthesiologists, PC

  • Anesthesiology Physician
  • Suffern, NY
  • NPI 1235151002
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1063495364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RIDGECREST LN",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102909",
            "telephone_number": "706-573-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557A CONNOR RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961208",
            "telephone_number": "706-573-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOS",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "560742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroos6867@direct.nhrmc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Todd Allen Reeder, PHARM.D.
• Herbert Reinhard, ATC
• Carla Rhodes
• Ricky Joe Rodgers, D.D.S.
• Steven John Rogers Jr., M.D.
• Jeremy Ross, ATC
• Tanya Gatchalian Saunders, CRNA
• Robin Paige Schechter-Smith
• Diane Duhaime Scherr, FNP
• Michael C Schiavone, ATC

• Registered Nurse in West Point, NY
• Providers in West Point, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.