Individual provider Active NPI

Rosetta Richards, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1407961386
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401533 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 618-0401
Fax
(347) 479-1303
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X F303125 / 436475 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401533 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Other identifiers 1

IdentifierTypeStateIssuer
02728238MedicaidNY

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
I20060313000082 NY Practitioner - Nurse Practitioner 0840207171 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Psychiatry GroupGroup PAC ID 2062301476, 50 clinicians

Practice addresses (Care Compare)

205 E 64TH St
New York, NY 10065-6635
Phone (646) 449-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303125 / 436475NYMDRegistered Nurse
F401533NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mskcc Clinical Practice Plan CurrentSince Mar 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2021 Accepting new patients
Charles Evans Center, Inc CurrentSince Mar 16, 2023 Accepting new patients
Mskcc Radiology Group CurrentSince Mar 1, 2020 Accepting new patients
Charles Evans Center, Inc. Current Accepting new patients
The Long Island Home CurrentSince Feb 1, 2017 Accepting new patients
Memorial Medical Consultation Group CurrentSince Nov 4, 2023 Accepting new patients
The Long Island Home CurrentSince Feb 1, 2017 Accepting new patients
Memorial Hematology Lymphoma Group Current Accepting new patients
Mskcc Clinical Practice Plan CurrentSince Mar 1, 2020 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Mar 1, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Advantage Care Diagnostic and Treatment Center ,Inc CurrentSince Feb 24, 2026 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2021 Accepting new patients
Memorial Psychiatry Group CurrentSince Nov 4, 2023 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Mar 1, 2020 Accepting new patients
Memorial Gastroenterology Group Past Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

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

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

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

113 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 622-8888

189 Wheatley Rd
Glen Head, NY 11545
Phone (516) 626-1075

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

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

205 E 64th St
New York, NY 10065
Phone (212) 639-3127

Networks

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

Interoperability endpoints

  • Direct secure messaging: rrichards41231@mskcc.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1407961386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ROSETTA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "F303125 / 436475",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02728238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.