Individual provider Active NPI

Rosa C. Ianni, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1184742272
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304103 Issued in NY
Practice address
Cardiac Prevention Center
428 East 72 Street Suite 600
New York, NY 10021
Phone
(646) 962-6004
Fax
(646) 962-0020
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304103 NY Primary

Addresses

Primary practice location

Cardiac Prevention Center
428 East 72 Street Suite 600
New York, NY 10021

Mailing address

428 E 72ND St Ofc 600
New York, NY 10021-4635
Phone (646) 962-6004

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
I20080604000454 NY Practitioner - Nurse Practitioner 1759451669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
New York, NY 10021-5663

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 27, 2018 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients

Locations

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

1305 York Ave
Rm 813
New York, NY 10021

1305 York Ave
New York, NY 10021
Phone (646) 962-2020

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1184742272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214635",
            "telephone_number": "646-962-6004",
            "fax_number": "646-962-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARDIAC PREVENTION CENTER",
            "address_2": "428 EAST 72 STREET SUITE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "646-962-6004",
            "fax_number": "646-962-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNI",
        "first_name": "ROSA",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.