Individual provider Active NPI

Rokhaya Ly, BSN MSN AGNP

  • Nurse Practitioner
  • Holliston, MA
National Provider Identifier
1134938129
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2310857 Issued in MA
Practice address
8 Hiawatha TRL
Holliston, MA 01746-3320
Phone
(603) 512-5659
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2310857 MA Primary
Nurse Practitioner 363L00000X APRN04387 RI

Addresses

Primary practice location

8 Hiawatha TRL
Holliston, MA 01746-3320

Mailing address

588 Knollwood Dr
Woonsocket, RI 02895-2631
Phone (401) 579-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20250116001212 RI Practitioner - Nurse Practitioner 2163950270 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
Maestro Medical Group PLLCGroup PAC ID 1951823871, 4 clinicians

Practice addresses (Care Compare)

735 Putnam Pike
Greenville, RI 02828-1435
Phone (401) 438-3250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2310857MAMDNurse Practitioner
APRN04387RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maestro Medical Group, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

10 Woodland Dr
Coventry, RI 02816
Phone (401) 438-3250

735 Putnam Pike
Greenville, RI 02828
Phone (401) 929-1200

1139 Main Ave
Warwick, RI 02886
Phone (401) 739-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1134938129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 KNOLLWOOD DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952631",
            "telephone_number": "401-579-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HIAWATHA TRL",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017463320",
            "telephone_number": "603-512-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "ROKHAYA",
        "credential": "BSN MSN AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2310857",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN04387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

Verify at the official NPI Registry.