Individual provider Active NPI

Rosemarie Escalera, R.N.

  • Administrator Registered Nurse
  • Swan Lake, NY
National Provider Identifier
1194160291
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
650375 Issued in NY
Practice address
4504 State Route 55
Swan Lake, NY 12783-6515
Phone
(845) 292-6875
Fax
(845) 292-4873
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 650375 NY Primary

Addresses

Primary practice location

4504 State Route 55
Swan Lake, NY 12783-6515

Mailing address

PO Box 340
4504 St RT 55
Swan Lake, NY 12783-0340
Phone (845) 292-6875

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

LicenseStateTypeSpecialty
650375NYMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Daytop Village, Inc Past Accepting new patients

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1194160291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "address_2": "4504 ST RT 55",
            "city": "SWAN LAKE",
            "state": "NY",
            "postal_code": "127830340",
            "telephone_number": "845-292-6875",
            "fax_number": "845-292-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 STATE ROUTE 55",
            "city": "SWAN LAKE",
            "state": "NY",
            "postal_code": "127836515",
            "telephone_number": "845-292-6875",
            "fax_number": "845-292-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALERA",
        "first_name": "ROSEMARIE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "650375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swan Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.