Individual provider Active NPI

Rochelle George

  • Psychiatric/Mental Health Nurse Practitioner
  • Maspeth, NY
National Provider Identifier
1275875122
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1073754 Issued in TX
Practice address
7116 Grand Ave
Maspeth, NY 11378-1823
Phone
(718) 307-1577
Fax
(718) 307-1578
NPI assigned
Mar 19, 2013
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404785 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14059 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1073754 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Licensed Practical Nurse 164W00000X 303207-1 NY

Addresses

Primary practice location

7116 Grand Ave
Maspeth, NY 11378-1823

Mailing address

7116 Grand Ave
Maspeth, NY 11378-1823
Phone (718) 307-1577

Other practice location 1

11 Marshall Rd Ste 2L
Wappingers Falls, NY 12590-4134
Phone (845) 298-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230622002865 TX Practitioner - Nurse Practitioner 4486012424 Reassigns benefits to 2 organizations
I20241007003171 NY Practitioner - Nurse Practitioner 4486012424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
East Point Medical PCGroup PAC ID 0749690741, 24 clinicians

Practice addresses (Care Compare)

7116 Grand Ave
Maspeth, NY 11378-1823
Phone (718) 307-1577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303207-1NYMDLicensed Practical Nurse
404785NYMDPsychiatric/Mental Health Nurse Practitioner
1073754TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Matters Behavioral Healthcare Psychiatric/Mental Health Current Accepting new patients
East Point Medical PC Psychiatric/Mental Health CurrentSince Dec 15, 2024 Accepting new patients
Texas Advance Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
Anne M Paden N P P C Psychiatric/Mental Health CurrentSince Aug 2, 2024 Accepting new patients
Mental Matters Behavioral Healthcare Psychiatric/Mental Health Current Accepting new patients

Locations

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

11 Marshall Rd
Ste 2L
Wappingers Fl, NY 12590
Phone (845) 298-4350

715 N Fielder Rd
#B
Arlington, TX 76012
Phone (682) 220-9615

715 N Fielder Rd
Ste B
Arlington, TX 76012
Phone (682) 220-9615

Networks

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

Organizations & group practices 6

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1275875122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781823",
            "telephone_number": "718-307-1577",
            "fax_number": "718-307-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781823",
            "telephone_number": "718-307-1577",
            "fax_number": "718-307-1578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Marshall Rd Ste 2L",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125904134",
            "country_code": "US",
            "telephone_number": "845-298-4350",
            "fax_number": "845-298-4354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ROCHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404785",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14059",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1073754",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "303207-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.