Individual provider Active NPI

Ana Altagracia Rosario Rodriguez, REGISTERED NURSE

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1154995678
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0151402 Issued in NY
Practice address
1000 Pelham Pkwy S
Bronx, NY 10461-1003
Phone
(718) 409-8202
Fax
(718) 409-8786
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0151402 NY Primary

Addresses

Primary practice location

1000 Pelham Pkwy S
Bronx, NY 10461-1003

Mailing address

1868 Guerlain St Apt 2F
Bronx, NY 10460-3501
Phone (646) 474-2096

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Morningside Direct

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

LicenseStateTypeSpecialty
0151402NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1154995678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 GUERLAIN ST APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603501",
            "telephone_number": "646-474-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611003",
            "telephone_number": "718-409-8202",
            "fax_number": "718-409-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO RODRIGUEZ",
        "first_name": "ANA",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "0151402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Morningside",
            "affiliation": "N",
            "endpointDescription": "Nursing home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Pelham Pkwy S",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104611003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.