Ivey Shaniece Rolon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

33256701 Issued in NY

Practice address

1011 W Genesee St Ste 3
Syracuse, NY 13204-2329

Phone

(315) 476-0600

NPI assigned

Nov 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Maxim of New York, LLC

  • Home Health Agency
  • Syracuse, NY
  • NPI 1639280100
  NPD
• Maxim of New York, LLC

  • Home Health Agency
  • Rochester, NY
  • NPI 1265543706
  NPD (past)

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1508726829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ENDRES DR APT 5",
            "city": "MATTYDALE",
            "state": "NY",
            "postal_code": "132111131",
            "telephone_number": "315-476-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W GENESEE ST STE 3",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042329",
            "telephone_number": "315-476-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON",
        "first_name": "IVEY",
        "middle_name": "SHANIECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "33256701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• India N Roland
• Roberta Anne Rolland, R.N., M.S., FNP
• David J Rollin, FNP-C
• Ellyn Geller Roloff, P.T.
• Haydee Rolon-Menifee
• Silvana Rolong, M.D.
• Yulia Romalis, MD
• Paola Roman Bonet, MD
• Horatius Roman, MD
• Laura Ann Roman, RPH

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.