Active NPI
Joanna Michele Rose, NP
- Family Nurse Practitioner
- Commack, NY
National Provider Identifier
1770167660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338740-01
- Practice address
- 353 Veterans Memorial Hwy Ste 104
Commack, NY 11725-4325 - Phone
- (631) 498-1344
- NPI assigned
- May 7, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F338740-01 | NY | Primary |
Addresses
Primary practice location
353 Veterans Memorial Hwy Ste 104
Commack, NY 11725-4325
Mailing address
276 Woodland Ave
Manorville, NY 11949-2052
Phone (631) 835-6078
Other practice location 1
353 Veterans Memorial Hwy Ste 103
Commack, NY 11725-4325
Phone (631) 498-1344
Other names 1
- Joanna Michele Hamann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338740-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Urology Associates, PC | Current | Accepting new patients |
Locations
353 Veterans Memorial Hwy
Ste 103
Commack, NY 11725
Phone (631) 498-1344
353 Veterans Memorial Hwy
Ste 104
Commack, NY 11725
Phone (631) 486-7515
Organizations & group practices 1
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.
-
- Pediatric Urology Physician
- Tarrytown, NY
- NPI 1518989193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1770167660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 WOODLAND AVE",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492052",
"telephone_number": "631-835-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 VETERANS MEMORIAL HWY STE 104",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254325",
"telephone_number": "631-498-1344"
}
],
"practiceLocations": [
{
"address_1": "353 Veterans Memorial Hwy Ste 103",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117254325",
"country_code": "US",
"telephone_number": "631-498-1344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "JOANNA",
"middle_name": "MICHELE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338740-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "HAMANN",
"middle_name": "MICHELE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.