Active NPI
Georgia Rose
- Obstetrics & Gynecology Nurse Practitioner
- New York, NY
National Provider Identifier
1487767729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- F360267-1
- Practice address
- 285 W End Ave
Y2
New York, NY 10023-2504 - Phone
- (212) 531-2229
- Fax
- (914) 462-4409
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F000247-1 | NY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | F360267-1 | NY | Primary |
Addresses
Primary practice location
285 W End Ave
Y2
New York, NY 10023-2504
Mailing address
123 W 93Rd St
#10C
New York, NY 10025-7572
Phone (212) 864-3630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000247 | NY | MD | Psychoanalyst |
| F000247-1 | NY | MD | Midwife |
| F360267-1 | NY | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love Child Midwifery P.C. | Past | Accepting new patients | |
| Georgia Rose, CNM, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Advanced Practice Midwife
- New York, NY
- NPI 1750501425
-
- Advanced Practice Midwife
- New York, NY
- NPI 1164319398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1487767729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W 93RD ST",
"address_2": "#10C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257572",
"telephone_number": "212-864-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W END AVE",
"address_2": "Y2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232504",
"telephone_number": "212-531-2229",
"fax_number": "914-462-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "GEORGIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F000247-1",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "F360267-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.