Individual provider Active NPI

Roselyn Conesa

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1619645132
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346489 Issued in NY
Practice address
1776 Clay Ave
Bronx, NY 10457-7239
Phone
(347) 649-3140
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 346489 NY Primary

Addresses

Primary practice location

1776 Clay Ave
Bronx, NY 10457-7239

Mailing address

1776 Clay Ave
Bronx, NY 10457-7239
Phone (347) 679-3140

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
I20211115001631 NY Practitioner - Nurse Practitioner 8820487796 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346489NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates,PC CurrentSince Jun 8, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 8, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 8, 2024 Accepting new patients
La Casa de Salud, Inc CurrentSince Jan 24, 2022 Accepting new patients
La Casa de Salud Inc. Current Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jun 8, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 8, 2024 Accepting new patients
Bronx Addiction Services Integrated Concepts System Inc Past Accepting new patients

Locations

915 Westchester Ave
Bronx, NY 10459
Phone (646) 224-9300

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

754 E 151st St
Bronx, NY 10455
Phone (347) 352-2500

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1619645132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CLAY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577239",
            "telephone_number": "347-679-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CLAY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577239",
            "telephone_number": "347-649-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONESA",
        "first_name": "ROSELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.