Active NPI
Rozelle Jasmine Dukette, FNP-BC
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339448
- Practice address
- 3400 Bainbridge Ave
7TH Floor
Bronx, NY 10467-2404 - Phone
- (718) 920-2626
- Fax
- (718) 652-1833
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339448 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave
7TH Floor
Bronx, NY 10467-2404
Mailing address
3400 Bainbridge Ave
7TH Floor
Bronx, NY 10467-2404
Phone (718) 920-2626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04556290 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339448 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients |
Locations
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
111 E 210th St
Bronx, NY 10467
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
1190 5th Ave
#2W
New York, NY 10029
Phone (212) 241-5646
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
100 Woods Rd
Fl 1
Valhalla, NY 10595
Phone (914) 493-5189
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
100 Woods Rd
Fl 1ACP1
Valhalla, NY 10595
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- rdukette@montefioredirect.com
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 7
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.
-
dba Cardiothoracic Surgery of Mount Sinai
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New York, NY
- NPI 1750626560
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1588014229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"address_2": "7TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-2626",
"fax_number": "718-652-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"address_2": "7TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-2626",
"fax_number": "718-652-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKETTE",
"first_name": "ROZELLE",
"middle_name": "JASMINE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04556290",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.