Neil Roecklein, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00561300 Issued in NJ

Practice address

140 Old Orangeburg Rd
Orangeburg, NY 10962

Phone

(845) 359-1000

NPI assigned

Oct 4, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Nys Office of Mental Health

  • Psychiatric Hospital
  • Orangeburg, NY
  • NPI 1386708550
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1629528518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-359-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "10962",
            "telephone_number": "845-359-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 W Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312611",
            "country_code": "US",
            "telephone_number": "201-567-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Dumont",
            "state": "NJ",
            "postal_code": "07628",
            "country_code": "US",
            "telephone_number": "201-385-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 W Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312611",
            "country_code": "US",
            "telephone_number": "201-567-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Old Orangeburg Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "NY",
            "postal_code": "10962",
            "country_code": "US",
            "telephone_number": "845-359-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROECKLEIN",
        "first_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00561300",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401999-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockland Psychiatric Center
• Rockland Psychiatric Center
• Rockland Psychiatric Center
• Pierre V. J. Rodolphe
• F. Anthony Rodriguez, PSYD
• Marilyn Rose Rollins, LMSW
• Debra Romanelli, LCSW
• Kayla Rosario, BS, ATC
• Alan I Rosenfeld, D.D.S.
• Eric Anthony Ross, MD

• Psychiatric/Mental Health Nurse Practitioner in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.