Rose Nkoli Ezeani, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

303867 Issued in NY

Practice address

1111 Montauk Hwy Ste 2-4
West Islip, NY 11795-4910

Phone

(631) 647-9100

Fax

(631) 647-9099

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHIIBA
• FHIR API: https://fhir4.healow.com/fhir/r4/EHIIBA/Endpoint/EHIIBA
• FHIR API: https://fhir4.healow.com/fhir/r4/HEFFDD

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.

• East Northport Medical Care PLLC

  • Internal Medicine Physician
  • East Northport, NY
  • NPI 1932431103
  Medicare reassignment NPD
• Sumeet K. Anand M.D., P.C

  • Internal Medicine Physician
  • West Islip, NY
  • NPI 1164865093
  NPD
• SJ Surgery of Ny, PC

  • Surgery Physician
  • West Islip, NY
  • NPI 1467087627
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1609921568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY STE 2-4",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-647-9100",
            "fax_number": "631-647-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY STE 2-4",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-647-9100",
            "fax_number": "631-647-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANI",
        "first_name": "ROSE",
        "middle_name": "NKOLI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Esposito
• Mary Anne Esposito, PT, DPT
• William Charles Etts, DPM
• Viktoriia Evangeliou
• Gavin Eysler, MD
• Facelipsteeth, Inc
• Laura Ann Falkowski, D.O.
• Eric Fanaee, MD
• Samantha A Fantauzzi, LCSW
• Katie Fargnoli

• Adult Health Nurse Practitioner in West Islip, NY
• Providers in West Islip, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.

Verify at the official NPI Registry.