Organization Active NPI

Estime Roberts Women'S Health Nurse Practitioner PLLC

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1497350854
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
ESTIME ROBERTS WOMEN'S HEALTH NURSE PRACTITIONER PLLC
Practice address
318 Gates Ave Unit C2
Brooklyn, NY 11216-1306
Phone
(347) 287-1375
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Peggy Ann Estime Roberts, WHNP-BC
Title
Owner/ Founder
Phone
(347) 287-1375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

318 Gates Ave Unit C2
Brooklyn, NY 11216-1306

Mailing address

318 Gates Ave Unit C2
Brooklyn, NY 11216-1306
Phone (347) 287-1375

Other practice location 1

25354 148th Ave
Rosedale, NY 11422-2830
Phone (347) 287-1375

Other identifiers 1

IdentifierTypeStateIssuer
1013444637MedicaidNY

Other names 1

  • Trust Women's Healthcare Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL trustwomenshealthcare.com Direct
CONNECT URL Trustwomenshealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210312000852 NY Part B Supplier - Clinic/Group Practice 0042626293 Receives reassigned benefits from 1 practitioner
Practice locations: Deer Park, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

318 Gates Ave
Unit C2
Brooklyn, NY 11216
Phone (347) 287-1375

318 Gates Ave
Brooklyn, NY 11216

318 Gates Ave
Ste C2
Brooklyn, NY 11216
Phone (929) 788-7878

1644 Deer Park Ave
Lowr N
Deer Park, NY 11729
Phone (929) 788-7878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1497350854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 GATES AVE UNIT C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161306",
            "telephone_number": "347-287-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 GATES AVE UNIT C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161306",
            "telephone_number": "347-287-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25354 148th Ave",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "NY",
            "postal_code": "114222830",
            "country_code": "US",
            "telephone_number": "347-287-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESTIME ROBERTS WOMEN'S HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "ESTIME ROBERTS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ FOUNDER",
        "authorized_official_telephone_number": "347-287-1375",
        "authorized_official_credential": "WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013444637",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trustwomenshealthcare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "25354 148th Ave",
            "city": "Rosedale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114222830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Trustwomenshealthcare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "318 Gates Ave Unit C2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112161306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trust Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trust Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.