Carine Desrouleaux, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

635279-1 Issued in NY

Practice address

11836 Nashville Blvd
Cambria Heights, NY 11411-1920

Phone

(917) 335-3458

Fax

(917) 335-3458

NPI assigned

Oct 13, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1669983953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11836 NASHVILLE BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111920",
            "telephone_number": "718-776-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11836 NASHVILLE BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111920",
            "telephone_number": "917-335-3458",
            "fax_number": "917-335-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROULEAUX",
        "first_name": "CARINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liezl Catherine C. Del Rosario, PA-C
• Gisele Delacruz, TSHH
• Marie Syndie Delorme
• Danika Lorraine Denny
• Vanessa Derisca
• Niquette Destin, SPEECH-LANGUAGE PATH
• Rosemarie Catherine Detoma
• Dacia Devian Hazarian, MD
• Baldeep Singh Dhaliwal
• Elizabeth Digiglio

• Registered Nurse in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.