Individual provider Active NPI

Carla Rosa de Jesus

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1477448033
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356687 Issued in NY
Practice address
3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone
(718) 444-7766
Fax
(718) 444-3709
NPI assigned
Jun 12, 2025
Last updated
May 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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 356687 NY Primary

Addresses

Primary practice location

3709 Flatlands Ave
Brooklyn, NY 11234-3507

Mailing address

2918 Tenbroeck Ave
Bronx, NY 10469-5229
Phone (917) 609-2908

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
I20251202001482 NY Practitioner - Nurse Practitioner 6406349117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Practice addresses (Care Compare)

3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (646) 535-1545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356687NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings County House Calls NP in Family Health PLLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545

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.

Hospital & facility affiliations 3

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1477448033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 TENBROECK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695229",
            "telephone_number": "917-609-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343507",
            "telephone_number": "718-444-7766",
            "fax_number": "718-444-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA DE JESUS",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.