Active NPI
Burgundy Rose McCoy, NP
- Family Nurse Practitioner
- Bergen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348433
- Practice address
- 6966 W Bergen Rd
Bergen, NY 14416-9743 - Phone
- (585) 494-1300
- Fax
- (585) 494-1132
- NPI assigned
- May 27, 2021
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348433 | NY | Primary |
Addresses
Primary practice location
6966 W Bergen Rd
Bergen, NY 14416-9743
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 494-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10900 Nuckols Rd
Suite 110
Glen Allen, VA 23060-9246
Phone (337) 991-9276
13700 Magna Way
Herndon, VA 20171-5444
Phone (337) 991-9276
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Virginia LLC | Current | Accepting new patients | |
| Matrix Medical of New York PC | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients |
Locations
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
6966 W Bergen Rd
Bergen, NY 14416
Phone (585) 494-1300
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
10900 Nuckols Rd
Ste 110
Glen Allen, VA 23060
Phone (804) 396-6392
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Yorktown, VA
- NPI 1154359701
-
dba Enhabit Home Health
- Home Health Agency
- Virginia Beach, VA
- NPI 1184968026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1447826896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-494-1300",
"fax_number": "585-494-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6966 W BERGEN RD",
"city": "BERGEN",
"state": "NY",
"postal_code": "144169743",
"telephone_number": "585-494-1300",
"fax_number": "585-494-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "BURGUNDY",
"middle_name": "ROSE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "348433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bergen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.