Individual provider Active NPI

Rosalyn Beswick, NP

  • Adult Health Nurse Practitioner
  • Valley Cottage, NY
National Provider Identifier
1508107855
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306253-1 Issued in NY
Practice address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone
(718) 362-1411
Fax
(718) 362-1651
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306253-1 NY Primary

Addresses

Primary practice location

612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027

Mailing address

1512 Diellen LN
Elmont, NY 11003-4546
Phone (917) 217-4975

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
I20190408001390 NY Practitioner - Nurse Practitioner 4981945631 Reassigns benefits to 4 organizations
Practice locations: Cambria Heights, NY; Elmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Elmont, NY 11003
Phone (718) 362-1406

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306253NYMDPsychiatry Physician
F306253-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Mar 2, 2019 Accepting new patients
RB Adult Health NP PC Adult Health CurrentSince Dec 17, 2024 Accepting new patients
Ocean NP in Family Health PLLC CurrentSince Mar 5, 2024 Accepting new patients
Jamaica Hospital CurrentSince Mar 2, 2019 Accepting new patients
Renew Medical of New York, PLLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

475 New Hempstead Rd
New City, NY 10956
Phone (347) 829-6863

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Interoperability endpoints

  • Direct secure messaging: rbeswick43211@direct.medisys.org

Organizations & group practices 5

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1508107855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 DIELLEN LN",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034546",
            "telephone_number": "917-217-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESWICK",
        "first_name": "ROSALYN",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

Verify at the official NPI Registry.