Active NPI
Anisah Rozan
- Pharmacist
- Elmont, NY
National Provider Identifier
1316758436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 072305
- Practice address
- 1633 Dutch Broadway
Elmont, NY 11003-5008 - Phone
- (516) 620-1315
- NPI assigned
- Jan 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 072305 | NY | Primary |
Addresses
Primary practice location
1633 Dutch Broadway
Elmont, NY 11003-5008
Mailing address
9742 221St St
Queens Village, NY 11429-1354
Phone (917) 288-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072305 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nucare LTC LLC | Current | Accepting new patients |
Locations
1633 Dutch Broadway
Elmont, NY 11003
Phone (516) 620-1315
Organizations & group practices 1
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": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1316758436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9742 221ST ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291354",
"telephone_number": "917-288-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110035008",
"telephone_number": "516-620-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZAN",
"first_name": "ANISAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "072305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.