Individual provider Active NPI

Rosemary A Oluh

  • Gerontology Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1275209215
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F309343-01 Issued in NY
Practice address
10528 Avenue L
Brooklyn, NY 11236-4632
Phone
(917) 685-7726
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X F309343-01 NY Primary

Addresses

Primary practice location

10528 Avenue L
Brooklyn, NY 11236-4632

Mailing address

10528 Avenue L
Brooklyn, NY 11236-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220318000063 NY Practitioner - Nurse Practitioner 8820483456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309343NYMDLicensed Practical Nurse
F309343-01NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC Single Specialty CurrentSince Nov 14, 2024 Accepting new patients
Kingsbrook Medical Associates PC Single Specialty CurrentSince Nov 14, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

Interoperability endpoints

  • Direct secure messaging: rosemaryoluh@mai.allscriptsdirect.net

Organizations & group practices 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1275209215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10528 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10528 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364632",
            "telephone_number": "917-685-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUH",
        "first_name": "ROSEMARY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F309343-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.