Individual provider Active NPI

Carlos Rosado III, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1598145245
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349395 Issued in NY
Practice address
11 Stuyvesant Oval Apt 2G
New York, NY 10009-2047
Phone
(212) 979-8920
Fax
(212) 979-8920
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 686076 NY
Family Nurse Practitioner 363LF0000X F349395 NY Primary

Addresses

Primary practice location

11 Stuyvesant Oval Apt 2G
New York, NY 10009-2047

Mailing address

11 Stuyvesant Oval Apt 2G
New York, NY 10009-2047
Phone (212) 979-8920

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
I20220610001310 NY Practitioner - Nurse Practitioner 8921486523 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
686076NYMDRegistered Nurse
F349395NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network, Inc. PastSince Oct 1, 2024 Accepting new patients

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1598145245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STUYVESANT OVAL APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092047",
            "telephone_number": "212-979-8920",
            "fax_number": "212-979-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STUYVESANT OVAL APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092047",
            "telephone_number": "212-979-8920",
            "fax_number": "212-979-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "686076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.