Individual provider Active NPI

Patricia Rogers

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1316534225
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421571 Issued in NY
Practice address
570 Grand Street
New York, NY 10002-2757
Phone
(212) 674-8210
Fax
(212) 533-1812
NPI assigned
Dec 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 837054 NY
General Practice Registered Nurse 163WG0000X 248463 TN
Women's Health Nurse Practitioner 363LW0102X 421571 NY Primary

Addresses

Primary practice location

570 Grand Street
New York, NY 10002-2757

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

2086 Woodfield Park Rd
Memphis, TN 38134-6716
Phone (662) 832-0111

Other practice location 2

213 E 88th St Apt 2B
New York, NY 10128-3342
Phone (662) 832-0111

Other practice location 3

215 East 95th Street
New York, NY 10128-4007
Phone (212) 996-8000

Other practice location 4

21 East 22nd Street
New York, NY 10010-9995
Phone (212) 460-7800

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
I20220624000765 NY Practitioner - Nurse Practitioner 1850770603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
421571NYMDRegistered Nurse
837054NYMDRegistered Nurse
248463TNMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jul 11, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 11, 2022 Accepting new patients
The Door - a Center of Alternatives, Inc. Past Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

21 E 22nd St
New York, NY 10010
Phone (212) 460-7800

55 Water St
Fl 2
New York, NY 10041

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

570 Grand St
New York, NY 10002
Phone (212) 254-7301

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1316534225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 GRAND STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022757",
            "telephone_number": "212-674-8210",
            "fax_number": "212-533-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2086 Woodfield Park Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381346716",
            "country_code": "US",
            "telephone_number": "662-832-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 E 88th St Apt 2B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101283342",
            "country_code": "US",
            "telephone_number": "662-832-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 East 95th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101284007",
            "country_code": "US",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 East 22nd Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100109995",
            "country_code": "US",
            "telephone_number": "212-460-7800",
            "fax_number": "212-460-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "837054",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "248463",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.