Individual provider Active NPI

Angela Rose, MSN, WHNP

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1326708272
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421792 Issued in NY
Practice address
1797 Coney Island Ave
Brooklyn, NY 11230-6501
Phone
(212) 695-5122
Fax
(212) 695-2260
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421792 NY Primary
Registered Nurse 163W00000X 767252 NY

Addresses

Primary practice location

1797 Coney Island Ave
Brooklyn, NY 11230-6501

Mailing address

1797 Coney Island Ave
Brooklyn, NY 11230-6501

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
I20250424003783 NY Practitioner - Nurse Practitioner 3779009451 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
767252NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Feb 23, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 23, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 23, 2025 Accepting new patients
Shakespeare Operating LLC CurrentSince Feb 23, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

616 Castle Hill Ave
Ste A
Bronx, NY 10473

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

5235 Broadway
Ste C
Bronx, NY 10463
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

3991 White Plains Rd
Ste C
Bronx, NY 10466
Phone (718) 925-3454

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

5667 Riverdale Ave
Bronx, NY 10471

2742 3rd Ave
Ste A
Bronx, NY 10455

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

1990 McGraw Ave
Ste A
Bronx, NY 10462

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1326708272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306501",
            "telephone_number": "212-695-5122",
            "fax_number": "212-695-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANGELA",
        "credential": "MSN, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421792",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "767252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.