Individual provider Active NPI

Adryanne Elizabeth Rozo, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1104593128
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383346 Issued in NY
Practice address
2290 Central Park Ave
Yonkers, NY 10710-1216
Phone
(914) 337-5437
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ15102800 NJ
Pediatric Nurse Practitioner 363LP0200X 383346 NY Primary

Addresses

Primary practice location

2290 Central Park Ave
Yonkers, NY 10710-1216

Mailing address

221 62ND St Apt 401
West New York, NJ 07093-2968
Phone (281) 352-7256

Other practice location 1

4110 Kennedy Blvd
Union City, NJ 07087-2610
Phone (201) 319-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250131000231 NJ Practitioner - Nurse Practitioner 8224567599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383346NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Feb 11, 2025 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Feb 11, 2025 Accepting new patients
PM Pediatrics of Bayside, PLLC Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1104593128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 62ND ST APT 401",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932968",
            "telephone_number": "281-352-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101216",
            "telephone_number": "914-337-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070872610",
            "country_code": "US",
            "telephone_number": "201-319-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZO",
        "first_name": "ADRYANNE",
        "middle_name": "ELIZABETH",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ15102800",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.