Roseline Jerome, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

212512 Issued in NY

Practice address

301 E Main St
Anesthesia Department
Bay Shore, NY 11706-8408

Phone

(631) 968-3163

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merrick Medical Care PLLCGroup PAC ID 9234563867, 2 clinicians

Upstate Anesthesia Services, P.C.Group PAC ID 0840383857, 47 clinicians

5000 Avenue K Medical Assocs PCGroup PAC ID 3577454602, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

Merit-based Incentive Payment System (MIPS)

Final score

83.75 of 100Reported as group

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• 5000 Avenue K Medical Assocs PC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1770707622
  Medicare reassignment Care Compare group NPD
• Merrick Medical Care PLLC

  • Ambulatory Surgical Clinic/Center
  • Merrick, NY
  • NPI 1821399981
  Medicare reassignment Care Compare group NPD
• Upstate Anesthesia Services, P.C.

  • Anesthesiology Physician
  • East Meadow, NY
  • NPI 1629272141
  Medicare reassignment Care Compare group NPD
• Jamaica Anesthesiologist, PC

  • Anesthesiology Physician
  • Jamaica, NY
  • NPI 1508812892
  Medicare reassignment NPD
• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1609802115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29140",
            "address_2": "SOUTH BAY ANESTHESIA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879140",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-968-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "ROSELINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "212512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00310173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02085587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wanerman MD PLLC
• Aaron S. Jenkins
• William Ronald Jennings, MD
• Jaclyn Jepson
• Margaret Jeran
• Colletta Latoya Jerrick, NURSE PRACTITIONER
• Mariana Jimenez Gonzalez
• John H Kraft DC PC
• John W. Acampa MD PC
• Aaron Lamont Johnson, MSW

• Anesthesiology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.