Kelsey Rothert, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336061 Issued in NY

Practice address

330 Powell Ave
Newburgh, NY 12550-3412

Phone

(845) 569-3152

Fax

(845) 569-3514

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Freres Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Murray Hill Medical Group PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1972598621
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1457584286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 POWELL AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503412",
            "telephone_number": "845-569-3152",
            "fax_number": "845-569-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 POWELL AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503412",
            "telephone_number": "845-569-3152",
            "fax_number": "845-569-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERT",
        "first_name": "KELSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "FRERES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Romero, LMSW
• Mary E Romero, LMHC, NCC, CCMHC
• Laura J. Ronen, M.S.R.D., C.D.E.
• Melissa Rosario
• Andrew M Rosenthal, M.D.
• Michael Rothman
• Joseph Rowney, NURSE PRACTITIONER
• Lisa Rozbicki
• Rubin Psychological Services ,P.C.
• Jeffrey M. Rubin, ED.D.

• Family Nurse Practitioner in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.