Rena Ross, NP

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

F311350-01 Issued in NY

Practice address

8801 Shore Rd BSMT Office
Brooklyn, NY 11209-5402

Phone

(347) 601-0708

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1336822063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 SHORE RD BSMT OFFICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095402",
            "telephone_number": "347-601-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 SHORE RD BSMT OFFICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095402",
            "telephone_number": "347-601-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "F311350-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ross
• Novelett Ross
• Patricia Michelle Ross, LCSW
• Petranella Ladine Ross
• Rebecca M Ross, LCSW
• Shaneka Ross, NP
• Susan Elizabeth Ross
• Suzette Ross, LCSW
• Tatyana Ross, LCSW, LMSW
• Theresa E Ross

• Geriatric Medicine (Family Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.