Individual provider Active NPI

Antonieta Ababa Rosenberg, NP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1245503804
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
30-305801 Issued in NY
Practice address
13N Neurology Department RM 023
Stony Brook University Hospital, 101 Nichols Rd
Stony Brook, NY 11794-0001
Phone
(631) 444-3467
Fax
(631) 444-9337
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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 30-305801 NY Primary

Addresses

Primary practice location

13N Neurology Department RM 023
Stony Brook University Hospital, 101 Nichols Rd
Stony Brook, NY 11794-0001

Mailing address

13N Neurology Department RM 023
Stony Brook University Hospital, 101 Nichols Rd
Stony Brook, NY 11794-0001
Phone (631) 444-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30-305801NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: antonieta.rosenberg@direct.stonybrookmedicine.edu

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1245503804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13N NEUROLOGY DEPARTMENT RM 023",
            "address_2": "STONY BROOK UNIVERSITY HOSPITAL, 101 NICHOLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-3467",
            "fax_number": "631-444-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13N NEUROLOGY DEPARTMENT RM 023",
            "address_2": "STONY BROOK UNIVERSITY HOSPITAL, 101 NICHOLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-3467",
            "fax_number": "631-444-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ANTONIETA",
        "middle_name": "ABABA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30-305801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.