Individual provider Active NPI

Rose Weissman, APN, C

  • Family Nurse Practitioner
  • Cold Spring, NY
National Provider Identifier
1356534648
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
332397-1 Issued in NY
Practice address
382 Lake Surprise Rd
Cold Spring, NY 10516-4006
Phone
(732) 796-5722
NPI assigned
Aug 21, 2007
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X P00165700 FL
Family Nurse Practitioner 363LF0000X 26NJ00040900 NJ
Family Nurse Practitioner 363LF0000X 332397-1 NY Primary

Addresses

Primary practice location

382 Lake Surprise Rd
Cold Spring, NY 10516-4006

Mailing address

14549 Sonoma Blvd
Naples, FL 34114-8658
Phone (732) 796-5722

Other practice location 1

14549 Sonoma Blvd
Naples, FL 34114-8658
Phone (732) 796-5722

Other names 1

  • Ms. Rose Traynor Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
332397-1NYMDLicensed Practical Nurse
P00165700FLMDFamily Nurse Practitioner
26NJ00040900NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1356534648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14549 SONOMA BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148658",
            "telephone_number": "732-796-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 LAKE SURPRISE RD",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105164006",
            "telephone_number": "732-796-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14549 Sonoma Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341148658",
            "country_code": "US",
            "telephone_number": "732-796-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "APN, C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "P00165700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00040900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332397-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "TRAYNOR",
            "prefix": "MS.",
            "credential": "APRN - BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cold Spring, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.