Individual provider Active NPI

Liliya Rozenfeld, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1518526839
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343800 Issued in NY
Practice address
4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone
(718) 948-8200
Fax
(718) 420-2718
NPI assigned
Jun 10, 2019
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343800 NY Primary

Addresses

Primary practice location

4771 Hylan Blvd
Staten Island, NY 10312-6315

Mailing address

55 Water Street
2ND Floor Cred Dept
Staten Island, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

1050 Clove Road
Staten Island, NY 10301-3627
Phone (718) 816-6440

Other practice location 2

2655 Richmond Ave
Suite 1404
Staten Island, NY 10314-5821
Phone (718) 948-8200

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
I20200826000634 NY Practitioner - Nurse Practitioner 1355768029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

4360 Hylan Blvd
Staten Island, NY 10312-6533
Phone (718) 818-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343800NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Aug 3, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Feb 1, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 3, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Feb 1, 2021 Accepting new patients
New Life Medical Services PC PastSince Dec 11, 2025 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

55 Water St
Fl 2
New York, NY 10041

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

2655 Richmond Ave
Ste 1404
Staten Island, NY 10314
Phone (718) 948-8200

2935 Veterans Rd W
Ste H
Staten Island, NY 10309
Phone (718) 818-4361

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

4360 Hylan Blvd
Staten Island, NY 10312
Phone (718) 818-4360

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: liliya.rozenfeld.1@19656.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1518526839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126315",
            "telephone_number": "718-948-8200",
            "fax_number": "718-420-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Clove Road",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013627",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Richmond Ave",
            "address_2": "Suite 1404",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103145821",
            "country_code": "US",
            "telephone_number": "718-948-8200",
            "fax_number": "516-542-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZENFELD",
        "first_name": "LILIYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.