Rosa Nam

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

3158701 Issued in NY

Practice address

111 Ardell Rd
Bronxville, NY 10708-6509

Phone

(914) 433-4577

NPI assigned

Apr 15, 2019

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

State licenses

Practice roles

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.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Elmsford, NY
  • NPI 1174569230
  NPD (past)

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1447813613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARDELL RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086509",
            "telephone_number": "914-433-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARDELL RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086509",
            "telephone_number": "914-433-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Central Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105913301",
            "country_code": "US",
            "telephone_number": "914-631-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "ROSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3158701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Mullings
• Lawrence Andrew Mumm, M.D.
• Adeyemi Theresa Lila Murphy-Higgs, MSED
• Kelsey Lee Murphy, PA-C
• Mishi Mutua
• Nasir Hasnain Naqvi, MD, PHD
• Shannon N Navas
• Peter Nelson, PH. D.
• Sofia Nersessova
• Neurologic Consultants of Westchester LLP

• Licensed Practical Nurse in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.