Jessica Elizabeth Rough

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F347757 Issued in NY

Practice address

30 Ramland Rd S Ste 200a
Orangeburg, NY 10962-2626

Phone

(845) 359-0010

Fax

(845) 359-3414

NPI assigned

Oct 7, 2021

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: jessica.rough.p1@direct.cwpw.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967

  Developmental - Behavioral Pediatrics

  Medicare reassignment NPD
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1467114306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RAMLAND RD S STE 200A",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622626",
            "telephone_number": "845-359-0010",
            "fax_number": "845-359-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RAMLAND RD S STE 200A",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622626",
            "telephone_number": "845-359-0010",
            "fax_number": "845-359-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGH",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F347757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Romanelli, LCSW
• Kayla Rosario, BS, ATC
• Alan I Rosenfeld, D.D.S.
• Eric Anthony Ross, MD
• Susan Rossisach, LCSW-R
• Biman Behari Roy, M.D.
• Roshan Mathew Royce, RN
• Neil Rubbert
• Addoye Ruda, FNP-BC
• Joan Monica Russell

• Pediatric Nurse Practitioner in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.