Active NPI
Nichole Lynn Rockowitz, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- Southold, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 309222
- Practice address
- 57190 Route 25
Southold, NY 11971 - Phone
- (631) 765-3620
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309222 | NY | Primary |
Addresses
Primary practice location
57190 Route 25
Southold, NY 11971
Mailing address
57190 Route 25
Southold, NY 11971-4750
Phone (631) 765-3620
Other practice location 1
57190 Route 25
Southold, NY 11971
Phone (631) 765-3620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689834525 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Mehri Songhorian MD PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| North Fork House Calls, LLC | Past | Accepting new patients |
Locations
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- nrockowitz505540@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Great Neck, NY
- NPI 1932342276
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Practice Physician
- Greenport, NY
- NPI 1326404377
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1689834525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57190 ROUTE 25",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119714750",
"telephone_number": "631-765-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57190 ROUTE 25",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "11971",
"telephone_number": "631-765-3620"
}
],
"practiceLocations": [
{
"address_1": "57190 Route 25",
"address_purpose": "LOCATION",
"city": "Southold",
"state": "NY",
"postal_code": "11971",
"country_code": "US",
"telephone_number": "631-765-3620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCKOWITZ",
"first_name": "NICHOLE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "309222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689834525",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southold, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.