Individual provider Active NPI

Rise Roche

  • Family Nurse Practitioner
  • Cortlandt Manor, NY
National Provider Identifier
1558049684
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
698880 Issued in NY
Practice address
26 N 2ND St
Cortlandt Manor, NY 10567-5252
Phone
(347) 645-7764
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 698880 NY
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 698880 NY Primary

Addresses

Primary practice location

26 N 2ND St
Cortlandt Manor, NY 10567-5252

Mailing address

26 N 2ND St
Cortlandt Manor, NY 10567-5252

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
I20250930002260 NY Practitioner - Nurse Practitioner 3577069442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot MedicalGroup PAC ID 3870927197, 15 clinicians

Practice addresses (Care Compare)

4499 Manhattan College Pkwy
Bronx, NY 10471-3919
Phone (845) 362-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
698880NYMDPeritoneal Dialysis Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Medical Wound Health PC CurrentSince Jul 26, 2025 Accepting new patients
Patriot Medical CurrentSince Jul 26, 2025 Accepting new patients

Locations

96 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 681-5066

4499 Manhattan College Pkwy
Bronx, NY 10471
Phone (718) 548-5100

286 S Main St
New City, NY 10956
Phone (845) 764-4774

787 King St
Rye Brook, NY 10573
Phone (914) 600-7149

Organizations & group practices 3

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1558049684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N 2ND ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N 2ND ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675252",
            "telephone_number": "347-645-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "RISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "NY",
            "license": "698880",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "698880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.