Individual provider Active NPI

Primrose Del Rosario

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1720759863
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403820 Issued in NY
Practice address
102 Rivers Edge Rd
New York, NY 10035-1163
Phone
(646) 766-4975
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403820 NY Primary

Addresses

Primary practice location

102 Rivers Edge Rd
New York, NY 10035-1163

Mailing address

442 E 78TH St Apt 3D
New York, NY 10075-1616
Phone (347) 446-7930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231024002348 MA Practitioner - Nurse Practitioner 4284093147 Reassigns benefits to 2 organizations
I20250909004713 NY Practitioner - Nurse Practitioner 4284093147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

306 Lenox Ave
FL 3
New York, NY 10027

306 Lenox Ave
FL 3
New York, NY 10027-4465

Merit-based Incentive Payment System (MIPS)

Final score
94.75 of 100Reported as group
Quality
92.55
Improvement activities
40
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Westwood Pembroke Inc CurrentSince Feb 5, 2024 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. Psychiatric/Mental Health CurrentSince Aug 6, 2025 Accepting new patients
Uhs of Fuller Inc Psychiatric/Mental Health CurrentSince Sep 18, 2023 Accepting new patients
Shlomit Levy PastSince Aug 6, 2025 Accepting new patients

Locations

199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000

200 May St
South Attleboro, MA 02703
Phone (508) 761-8500

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

Organizations & group practices 4

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1720759863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 E 78TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751616",
            "telephone_number": "347-446-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIVERS EDGE RD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351163",
            "telephone_number": "646-766-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "PRIMROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.