Individual provider Active NPI

Marisa Capuano Rock, FNP-BC

  • Family Nurse Practitioner
  • New London, CT
National Provider Identifier
1093529141
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17242 Issued in CT
Practice address
6 Shaws CV Ste 204
New London, CT 06320-4969
Phone
(860) 440-3744
NPI assigned
Feb 6, 2025
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 830717 NY
Registered Nurse 163W00000X 142749 CT
Family Nurse Practitioner 363LF0000X 17242 CT Primary
Family Nurse Practitioner 363LF0000X F356364-01 NY

Addresses

Primary practice location

6 Shaws CV Ste 204
New London, CT 06320-4969

Mailing address

6 Shaws CV Ste 204
New London, CT 06320-4969
Phone (860) 440-3744

Other practice location 1

75 Spring St Fl 2
New York, NY 10012-4098
Phone (646) 906-9614

Other practice location 2

6 Business Park Dr Ste 204
Branford, CT 06405-2988
Phone (203) 208-4082

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
I20250603002457 NY Practitioner - Nurse Practitioner 2961911755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Street Dermatology, PLLCGroup PAC ID 7113305517, 11 clinicians

Practice addresses (Care Compare)

75 Spring St
FL 2
New York, NY 10012-4098
Phone 2124815626164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
830717NYMDRegistered Nurse
F356364-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Street Dermatology, PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1093529141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV STE 204",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-440-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV STE 204",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-440-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Spring St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100124098",
            "country_code": "US",
            "telephone_number": "646-906-9614",
            "fax_number": "917-210-4316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Business Park Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064052988",
            "country_code": "US",
            "telephone_number": "203-208-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCK",
        "first_name": "MARISA",
        "middle_name": "CAPUANO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "830717",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "142749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "17242",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356364-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.