Roget George Kidd, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

433430 Issued in NY

Practice address

259 1St St
Mineola, NY 11501-3957

Phone

(516) 663-0333

NPI assigned

Sep 26, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: rkidd720913@nyumc.direct-ci.com

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1205709177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18634 ELMIRA AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121518",
            "telephone_number": "347-251-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "ROGET",
        "middle_name": "GEORGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "433430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lin Lin Khine, MD
• Dmitriy O. Khodorskiy, M.D.
• Homa Khowaja, PA-C
• Poonam Khullar, M.D.
• Abaan Khurshid, DO
• Michael Franics Kildare, PA-C
• Sharon Mary Killeen, NP
• Christopher Jeongmin Kim, M.D.
• Edward Woochang Kim, MD, MPH
• James Kim, MD

• Acute Care Nurse Practitioner in Mineola, NY
• Providers in Mineola, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.