Alisa Jeanette Rockett, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313870 Issued in NY

Practice address

440 Central Ave
Apt 2B
Brooklyn, NY 11221-5069

Phone

(347) 404-6769

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Alisa Jeanette Payne Former name

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1770826208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CENTRAL AVE",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215069",
            "telephone_number": "347-404-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CENTRAL AVE",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215069",
            "telephone_number": "347-404-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKETT",
        "first_name": "ALISA",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "313870",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06874400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XJ83660T",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "PAYNE",
            "middle_name": "JEANETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rockaway Medical Care PC
• Rockaway Medical Consultant P.L.L.C
• Rockaway Podiatry PLLC
• Rockaway RX Inc (Sam Korf Pharmacy)
• Rockaway RX Pharmacy LLC (Rockaway RX Pharmacy)
• Seth Rockman, LMSW
• Jonah Rockoff III
• Daniel Isaac Rockowitz
• Zena Michelle Rockowitz, LCSW
• Rockwayrx Inc. (Rockway Pharmacy)

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.