Individual provider Active NPI

Romelynn Tewarson, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1316307457
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305903-1 Issued in NY
Practice address
34-29 83Rd Street
Jackson Heights, NY 11372
Phone
(718) 424-7800
Fax
(718) 424-0888
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305903-1 NY Primary

Addresses

Primary practice location

34-29 83Rd Street
Jackson Heights, NY 11372

Mailing address

34-29 83Rd Street
Jackson Heights, NY 11372
Phone (718) 424-7800

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
I20160511001734 NY Practitioner - Nurse Practitioner 2860781085 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W Kingsbridge Rd
Bronx, NY 10468-3961
Phone (718) 410-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305903-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raveena Medical PC CurrentSince Oct 30, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Mar 15, 2016 Accepting new patients
Long Island Internal Medicine PLLC CurrentSince Aug 21, 2018 Accepting new patients
Tcprnc, LLC CurrentSince Nov 29, 2017 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Tcprnc, LLC CurrentSince Nov 29, 2017 Accepting new patients
Mehta Medical PC PastSince Jul 1, 2020 Accepting new patients
Mary Manning Walsh Home Past Accepting new patients

Locations

100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480

111 E 210th St
Bronx, NY 10467

1000 Gates Ave
Ste 5
Brooklyn, NY 11221

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

16411 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 296-7800

6135 Dry Harbor Rd
Middle Vlg, NY 11379
Phone (718) 505-7500

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

300 Community Dr
Plandome, NY 11030

9308 Queens Blvd
#1B
Rego Park, NY 11374

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 8

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1316307457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-29 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-7800",
            "fax_number": "718-424-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-29 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-7800",
            "fax_number": "718-424-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWARSON",
        "first_name": "ROMELYNN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.