Individual provider Active NPI

Rosalinda Rosario-Lipka, D.O.

  • Adult Medicine Physician
  • Staten Island, NY
National Provider Identifier
1699843151
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
222068 Issued in NY
Practice address
235 Port Richmond Avenue
Staten Island, NY 10302-1701
Phone
(718) 924-2254
Fax
(718) 442-0189
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 222068 NY Primary

Addresses

Primary practice location

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Mailing address

235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone (718) 924-2254

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112001189 NY Order and Referring Only - Family PracticePractitioner - Family Practice 1254553993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
222068NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TBHC Medical Services PC Past Accepting new patients
Community Health Center of Richmond Inc Past Accepting new patients
Community Health Center of Richmond, Inc PastSince Jan 1, 2009 Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJJAA
  • Direct secure messaging: rosalinda.rosario@chcrny.eclinicaldirectplus.com

Organizations & group practices 3

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1699843151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-LIPKA",
        "first_name": "ROSALINDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "222068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.