Individual provider Active NPI

Teresita Villarosa, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1457353880
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301732 Issued in NY
Practice address
1111 Amsterdam Ave
SLH- S&R 8TH Floor- Evaluation Unit
New York, NY 10025-1716
Phone
(212) 523-4101
Fax
(212) 523-1077
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301732 NY Primary

Addresses

Primary practice location

1111 Amsterdam Ave
SLH- S&R 8TH Floor- Evaluation Unit
New York, NY 10025-1716

Mailing address

772 Brook Ave
Apt B
Bronx, NY 10451-4677
Phone (212) 523-4101

Other identifiers 1

IdentifierTypeStateIssuer
02060768MedicaidNY

Other names 1

  • Mrs. Teresita Villarosa Professional 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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457353880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 BROOK AVE",
            "address_2": "APT B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514677",
            "telephone_number": "212-523-4101",
            "fax_number": "212-523-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "SLH- S&R 8TH FLOOR- EVALUATION UNIT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-4101",
            "fax_number": "212-523-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAROSA",
        "first_name": "TERESITA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02060768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESITA",
            "last_name": "VILLAROSA",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.