Individual provider Active NPI

Natalia Roth, NP

  • Adult Health Nurse Practitioner
  • 3 FL, NY
National Provider Identifier
1477016145
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308861-1 Issued in NY
Practice address
Visiting Nurse Service of New York
1630 East 15 St
3 FL, NY 11229
Phone
(212) 609-1800
NPI assigned
Apr 10, 2019
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X F308861-1 NY Primary

Addresses

Primary practice location

Visiting Nurse Service of New York
1630 East 15 St
3 FL, NY 11229

Mailing address

3000 Ocean Pkwy Apt 16N
Brooklyn, NY 11235-8354
Phone (646) 460-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200107001330 NY Practitioner - Nurse Practitioner 9133553845 Reassigns benefits to 4 organizations
I20230612003124 FL Practitioner - Nurse Practitioner 9133553845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associate of Wall Street, P.CGroup PAC ID 1658598198, 12 clinicians

Practice addresses (Care Compare)

6 Maiden LN
RM 500
New York, NY 10038-5140
Phone (212) 233-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.62 of 100Reported as group
Quality
77.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F308861-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Damian Family Care Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Damian Family Care Centers, Inc. Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Ny Mobile Medical PC Single Specialty CurrentSince Oct 18, 2024 Accepting new patients
Ny Mobile Medical PC Single Specialty CurrentSince Oct 18, 2024 Accepting new patients
Visavis Health Care Medical Group of FL, PLLC Single Specialty CurrentSince May 9, 2023 Accepting new patients
Medical Associate of Wall Street, P.C. Single Specialty CurrentSince Sep 20, 2024 Accepting new patients
Mihail Medvedovsky Physician PC Single Specialty CurrentSince Jul 15, 2020 Accepting new patients

Locations

81 Holly Hill Ln
Fl 3
Greenwich, CT 06830
Phone (203) 884-8420

10150 Highland Manor Dr
Ste 300
Tampa, FL 33610
Phone (813) 558-6600

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

66 Van Cortlandt Park S
Bronx, NY 10463
Phone (718) 304-1812

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

831 Bedford Ave
Brooklyn, NY 11205

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

6 Maiden Ln
Rm 500
New York, NY 10038
Phone (929) 630-4100

6 Maiden Ln
Ste 500ML
New York, NY 10038

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1477016145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 16N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358354",
            "telephone_number": "646-460-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISITING NURSE SERVICE OF NEW YORK",
            "address_2": "1630 EAST 15 ST",
            "city": "3 FL",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "212-609-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "NATALIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.