Active NPI
Rose Marie Michel
- Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1063640159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 295102-1
- Practice address
- 1700 Remsen Ave
Brooklyn, NY 11236 - Phone
- (646) 641-8278
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 295102-1 | NY | Primary |
Addresses
Primary practice location
1700 Remsen Ave
Brooklyn, NY 11236
Mailing address
1700 Remsen Ave
Brooklyn, NY 11236
Phone (646) 641-8278
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295102-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1063640159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 REMSEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "646-641-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 REMSEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "646-641-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "ROSE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "295102-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.