Rose Mary Paulose

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

623569 Issued in NY

Practice address

1663 E 17TH St
Brooklyn, NY 11229-1259

Phone

(718) 339-9700

NPI assigned

Jan 11, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1740550490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CLOVE RD APT 1G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102312",
            "telephone_number": "718-447-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291259",
            "telephone_number": "718-339-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULOSE",
        "first_name": "ROSE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "623569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM HEALTH",
            "identifier": "17917250",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QQ94228B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meyonie Paulin, RN
• Andrew Neal Pauline, MD
• Carl Benjamin Paulino, M.D.
• Maria Mirasol Cruz Paulino, MD
• Shirley Lucrecia Paulino
• Julia Paulsen
• Lorri S Paulucci, OTR/L
• Georgette Paulycarpe, CNM
• Darryl Frederick Paupaw, O. T. R./L
• Kevin Steven Pauta, FNP

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 11, 2012; 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.