Individual provider Active NPI

Brittany Leigh Rocco, BSN, MSN, RN, AGNP

  • Adult Health Nurse Practitioner
  • Miller Place, NY
National Provider Identifier
1548896111
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
705939-1 Issued in NY
Practice address
565 Route 25a
Miller Place, NY 11764-2663
Phone
(631) 849-3110
Fax
(949) 695-4584
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 309696 NY
Adult Health Nurse Practitioner 363LA2200X 705939-1 NY Primary

Addresses

Primary practice location

565 Route 25a
Miller Place, NY 11764-2663

Mailing address

565 Route 25a
Miller Place, NY 11764-2663
Phone (631) 849-3110

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
309696NYMDGeneral Practice Physician
705939-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BLR NP in Adult Health P.C General Practice CurrentSince Sep 14, 2025 Accepting new patients

Locations

565 Route 25A
Ste 103
Miller Place, NY 11764
Phone (631) 849-3110

Organizations & group practices 1

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1548896111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642663",
            "telephone_number": "631-849-3110",
            "fax_number": "949-695-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642663",
            "telephone_number": "631-849-3110",
            "fax_number": "949-695-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "BRITTANY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "BSN, MSN, RN, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "309696",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "705939-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

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