Individual provider Active NPI

Rozelle Jasmine Dukette, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1588014229
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339448 Issued in NY
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

Updated by the provider on Mar 3, 2017

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 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

IdentifierTypeStateIssuer
04556290MedicaidNY

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
I20161103001160 NY Practitioner - Nurse Practitioner 7618255167 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339448NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Apr 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Nov 26, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Apr 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Nov 26, 2017 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

  • Direct secure messaging: rdukette@montefioredirect.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.