Individual provider Active NPI

Anne Julie Roffe, O.T.

  • Community Health Worker
  • Hewlett, NY
National Provider Identifier
1487929378
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
008618-0 Issued in NY
Practice address
289 Meadowview Ave
Hewlett, NY 11557-2106
Phone
(516) 279-9137
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 008618-0 NY Primary

Addresses

Primary practice location

289 Meadowview Ave
Hewlett, NY 11557-2106

Mailing address

289 Meadowview Ave
Hewlett, NY 11557-2106
Phone (516) 279-9137

Other practice location 1

17837 146th Ter
Jamaica, NY 11434-5330
Phone (718) 528-2238

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

State licenses

LicenseStateTypeSpecialty
008618NYMDClinical Social Worker
008618-0NYMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1487929378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MEADOWVIEW AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572106",
            "telephone_number": "516-279-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MEADOWVIEW AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572106",
            "telephone_number": "516-279-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17837 146th Ter",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114345330",
            "country_code": "US",
            "telephone_number": "718-528-2238",
            "fax_number": "718-276-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROFFE",
        "first_name": "ANNE",
        "middle_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "008618-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.