Individual provider Active NPI

Celina M Robertson-Parris, ANP

  • Oncology Registered Nurse
  • New York, NY
National Provider Identifier
1265579858
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
F302038 Issued in NY
Practice address
10 Union Square East
Beth Israel Medical Center Pacc LL61
New York, NY 10003
Phone
(212) 844-8026
Fax
(212) 844-8037
NPI assigned
Jan 31, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X F302038 NY Primary

Addresses

Primary practice location

10 Union Square East
Beth Israel Medical Center Pacc LL61
New York, NY 10003

Mailing address

535 Martense Ave
Teaneck, NJ 07666-2504
Phone (212) 844-8026

Other identifiers 1

IdentifierTypeStateIssuer
02968216MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F302038NYMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
B I Radiation Oncology Associates Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1265579858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MARTENSE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662504",
            "telephone_number": "212-844-8026",
            "fax_number": "212-844-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQUARE EAST",
            "address_2": "BETH ISRAEL MEDICAL CENTER PACC LL61",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-844-8026",
            "fax_number": "212-844-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON-PARRIS",
        "first_name": "CELINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NY",
            "license": "F302038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02968216",
            "state": "NY"
        }
    ],
    "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 17, 2008; 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.