Lydia Elsie Rose, MED

Primary specialty

SpecialistTaxonomy code 174400000X

License

848459981 Issued in NY

Practice address

280 Route 211 E Ste 104-300
Middletown, NY 10940-3109

Phone

(845) 769-8179

Fax

(845) 913-9410

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lydia Rose-Adorno Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1336848670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRIGHTON DR UNIT 2604",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507453",
            "telephone_number": "845-549-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ROUTE 211 E STE 104-300",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403109",
            "telephone_number": "845-769-8179",
            "fax_number": "845-913-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LYDIA",
        "middle_name": "ELSIE",
        "name_prefix": "Ms.",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "848459981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "ROSE-ADORNO",
            "prefix": "MRS.",
            "credential": "MED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roosa Counseling Services
• Tiffany Ann Roosevelt, LMSW
• Richard Andrew Roper Jr., O.D.
• Kayla Rosa, FNP
• Stephanie Rosarion, MD
• Maura T Rose, R.N. F.N.P
• Rita M Rose, RD
• William Anthony Rose, MD
• Rogia M Rosemberg
• Sharon M. Rosenberg, M.D.

• Specialist in Middletown, NY
• Providers in Middletown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.