Michelle Rochard
Individual provider Active NPI Nurse Practitioner · New Hyde Park, NY
NPI 1265890487 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1265890487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN290092 (GA)
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (247) 355-0535
- NPI assigned
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170201002351 | NY | Practitioner - Nurse Practitioner | 5890078620 | Reassigns benefits to 2 organizations |
| I20191228000391 | GA | Practitioner - Nurse Practitioner | 5890078620 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN290092 | GA | MD | Nurse Practitioner |
| 339078 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Emergency Medicine, P.C. | Current | Accepting new patients | |
| True North Health Navigation LLC | Current |
Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Nurse Practitioner | Current |
Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Current |
Accepting new patients | |
| Wellstreet of Georgia PC | Current |
Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Current |
Accepting new patients | |
| Maimonides Faculty Practice Plan | Current |
Accepting new patients | |
| True North Health Navigation LLC | Current |
Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Current |
Accepting new patients |
Locations
4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380
5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546
6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360
1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
Interoperability endpoints
- michellerochard@mai.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339078 | NY | |
| Nurse Practitioner | 363L00000X | RN290092 | GA | Yes |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
1366 Fall River Dr
Conyers, GA 30013-7416
Phone (347) 355-0535
Other practice location 1
5885 Glenridge Dr Ste 100
Atlanta, GA 30328-5572
Phone (678) 321-8546
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16008176M | Other | NY | DEA |
Other names
- Michelle Rochard
Other providers in New Hyde Park, NY
- Nicole R Robinson-Taylor
- Desiree Robinson
- Lynn Robinson
- Tatayania Robinson
- Kathleen Lauren Rocha
- Joshua A Rocker
- Shaun David Rodgers
- Chris George Roditis
- Lourdes Rodriguez-Eisenberg
- Elena Rodriguez
All providers in New Hyde Park, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.