Active NPI
Rodelio Checa, RN, ANP/GNP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1174976500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 307611
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6504 - Phone
- (212) 241-6500
- NPI assigned
- Jul 20, 2016
- Last updated
- Jul 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 307611 | NY | Primary |
| Registered Nurse | 163W00000X | 607561 | NY |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6504
Mailing address
84118 Austin St
Kew Gardens, NY 11415-2243
Phone (917) 251-5206
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 607561 | NY | MD | Registered Nurse |
| 307611 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1174976500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84118 AUSTIN ST",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114152243",
"telephone_number": "917-251-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-241-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHECA",
"first_name": "RODELIO",
"credential": "RN, ANP/GNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "307611",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "607561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.