Individual provider Active NPI

Roseanne Cathe Adolfsson

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1629612312
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1312 38TH St
Brooklyn, NY 11218-3612
Phone
(718) 686-3700
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1312 38TH St
Brooklyn, NY 11218-3612

Mailing address

1312 38TH St
Brooklyn, NY 11218-3612
Phone (718) 686-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607002994 NY Practitioner - Physical Therapist in Private Practice 4880072693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039627NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince May 20, 2022 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 1

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1629612312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183612",
            "telephone_number": "718-686-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183612",
            "telephone_number": "718-686-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLFSSON",
        "first_name": "ROSEANNE CATHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.