Active NPI
Lumna Roc, LPN
- Licensed Practical Nurse
- Rosedale, NY
National Provider Identifier
1336461052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 285728
- Practice address
- 24934 147TH Rd
Rosedale, NY 11422-2430 - Phone
- (718) 525-8033
- NPI assigned
- Feb 22, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 285728 | NY | Primary |
Addresses
Primary practice location
24934 147TH Rd
Rosedale, NY 11422-2430
Mailing address
24934 147TH Rd
Rosedale, NY 11422-2430
Phone (718) 525-8033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285728 | Other | NY | NYS NURSING LICENSE LPN |
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 |
|---|---|---|---|
| 285728 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1336461052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24934 147TH RD",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222430",
"telephone_number": "718-525-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24934 147TH RD",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222430",
"telephone_number": "718-525-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROC",
"first_name": "LUMNA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "285728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS NURSING LICENSE LPN",
"identifier": "285728",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.