Individual provider Active NPI

Robert Edward Rollins, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1306544481
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404724 Issued in NY
Practice address
34 Paerdegat 7TH St
Brooklyn, NY 11236-4106
Phone
(347) 325-4029
NPI assigned
Feb 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404724 NY Primary

Addresses

Primary practice location

34 Paerdegat 7TH St
Brooklyn, NY 11236-4106

Mailing address

34 Paerdegat 7TH St # 1
Brooklyn, NY 11236-4106
Phone (347) 325-4029

Other practice location 1

34 Paerdegat 7th St # 1
Brooklyn, NY 11236-4106
Phone (347) 325-4029

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
I20230509000170 NY Practitioner - Nurse Practitioner 8921463399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Family Center IncGroup PAC ID 4385877968, 2 clinicians

Practice addresses (Care Compare)

493 Nostrand Ave
Brooklyn, NY 11216-2014

493 Nostrand Ave
Suite 3
Brooklyn, NY 11216-5118
Phone 7182301379144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. Psychiatric/Mental Health CurrentSince Mar 27, 2023 Accepting new patients
Family Center Inc CurrentSince Sep 18, 2023 Accepting new patients
Rise With Rollins NP in Psychiatry Services PLLC Psychiatric/Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Family Center Inc PastSince Jun 25, 2023 Accepting new patients
Shlomit Levy PastSince Mar 27, 2023 Accepting new patients

Locations

493 Nostrand Ave
Ste 3
Brooklyn, NY 11216
Phone (718) 230-1379

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

Organizations & group practices 5

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1306544481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PAERDEGAT 7TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364106",
            "telephone_number": "347-325-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PAERDEGAT 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364106",
            "telephone_number": "347-325-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Paerdegat 7th St # 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112364106",
            "country_code": "US",
            "telephone_number": "347-325-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.