Individual provider Active NPI

Nita Roy, FNP

  • Medicare Defined Swing Bed Hospital Unit
  • Staten Island, NY
National Provider Identifier
1154872216
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
341197 Issued in NY
Practice address
59 Sunset Ave
Staten Island, NY 10314-5038
Phone
(646) 318-9312
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 341197 NY Primary

Addresses

Primary practice location

59 Sunset Ave
Staten Island, NY 10314-5038

Mailing address

59 Sunset Ave
Staten Island, NY 10314-5038
Phone (646) 318-9312

Other names 1

  • Nita Roy Former name

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
I20200924001166 NY Practitioner - Nurse Practitioner 7214356211 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Perry Ave Family Medical Center IncGroup PAC ID 0547365363, 28 clinicians

Practice addresses (Care Compare)

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341197NYMDMedicare Defined Swing Bed Hospital Unit

Practice roles

OrganizationSpecialtyStatusNew patients
Valmond Medical PLLC CurrentSince Jul 27, 2021 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 1, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Oct 15, 2022 Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nita.roy@pafm.eclinicaldirectplus.com
  • Direct secure messaging: nitaroy@mai.allscriptsdirect.net

Organizations & group practices 5

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1154872216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SUNSET AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145038",
            "telephone_number": "646-318-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SUNSET AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145038",
            "telephone_number": "646-318-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "NITA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "341197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITA",
            "last_name": "ROY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.