Active NPI
Patricia Rogers
- Women's Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 421571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421571 | NY | MD | Registered Nurse |
| 837054 | NY | MD | Registered Nurse |
| 248463 | TN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | 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
- 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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Pediatric Adolescent Medicine Physician
- New York, NY
- NPI 1679620090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.