Individual provider Active NPI

Rose Estelle Romain, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1467705517
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33 337651 Issued in NY
Practice address
175 Lawrence Ave
Brooklyn, NY 11230-1102
Phone
(718) 436-7600
NPI assigned
Oct 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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 33 337651 NY Primary

Addresses

Primary practice location

175 Lawrence Ave
Brooklyn, NY 11230-1102

Mailing address

175 Lawrence Ave
Brooklyn, NY 11230-1102
Phone (718) 436-7600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150505001587 NY Practitioner - Nurse Practitioner 0749509230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33 337651NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jul 1, 2014 Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

330 W 34th St
Fl 15
New York, NY 10001

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

5140 59th St
Woodside, NY 11377
Phone (718) 205-0708

Networks

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

Organizations & group practices 3

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1467705517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LAWRENCE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301102",
            "telephone_number": "718-436-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LAWRENCE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301102",
            "telephone_number": "718-436-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAIN",
        "first_name": "ROSE",
        "middle_name": "ESTELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 337651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.