Individual provider Active NPI

Roselaure Luca, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1487216073
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9643059 Issued in NY
Practice address
5 Bryant Park
5TH Floor
New York, NY 10018
Phone
(917) 780-4930
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 9643059 NY Primary

Addresses

Primary practice location

5 Bryant Park
5TH Floor
New York, NY 10018

Mailing address

838 Pelhamdale Ave Apt 1H
New Rochelle, NY 10801-1014
Phone (518) 569-8223

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
I20260216000887 NY Practitioner - Nurse Practitioner 3971083379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 Doughty Blvd
Inwood, NY 11096-2135

838 Pelhamdale Ave
New Rochelle, NY 10801-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9643059NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Family Medical Associates, P.C. CurrentSince Jan 1, 2026 Accepting new patients

Locations

342 Beach 54th St
Far Rockaway, NY 11692
Phone (718) 474-0801

271 Doughty Blvd
Inwood, NY 11096
Phone (516) 239-4244

229 W 36th St
Fl 10
New York, NY 10018
Phone (212) 695-5122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1487216073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE APT 1H",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011014",
            "telephone_number": "518-569-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRYANT PARK",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "917-780-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCA",
        "first_name": "ROSELAURE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "9643059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.