Individual provider Active NPI

Ansu Mariam Roy, FNP

  • Family Nurse Practitioner
  • Howard Beach, NY
National Provider Identifier
1285230631
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346692-01 Issued in NY
Practice address
157 05 Cross Bay Blvd
Howard Beach, NY 11414
Phone
(718) 849-3340
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346692-01 NY Primary

Addresses

Primary practice location

157 05 Cross Bay Blvd
Howard Beach, NY 11414

Mailing address

157 05 Cross Bay Blvd
Howard Beach, NY 11414

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
I20210324002402 NY Practitioner - Nurse Practitioner 9133536816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Lev Grinman MD PCGroup PAC ID 8628516366, 2 clinicians

Practice addresses (Care Compare)

279 Central Park W
Suite 1a
New York, NY 10024-3080
Phone (212) 877-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F346692-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Children'S Association - Linkage CurrentSince Jul 5, 2024 Accepting new patients

Locations

377 Oak St
Fl 5
Garden City, NY 11530
Phone (516) 292-1300

126 N Franklin St
Hempstead, NY 11550
Phone (516) 486-7200

180 Broadway
Fl 2
Hicksville, NY 11801
Phone (516) 935-6858

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1285230631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 05 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 05 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-849-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ANSU",
        "middle_name": "MARIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346692-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

Verify at the official NPI Registry.