Individual provider Active NPI

Elvira Fardella-Roveto, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1457405334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334702 Issued in NY
Practice address
1500 Pelham Pkwy S
Bronx, NY 10461-1100
Phone
(718) 409-7991
Fax
(718) 904-8320
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334702 NY Primary

Addresses

Primary practice location

1500 Pelham Pkwy S
Bronx, NY 10461-1100

Mailing address

3180 Country Club Rd
Bronx, NY 10465-1235
Phone (718) 409-0874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
334702NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Extraordinary Home Care PastSince Dec 26, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457405334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 COUNTRY CLUB RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651235",
            "telephone_number": "718-409-0874",
            "fax_number": "718-904-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611100",
            "telephone_number": "718-409-7991",
            "fax_number": "718-904-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARDELLA-ROVETO",
        "first_name": "ELVIRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.