Individual provider Active NPI

Anna J Roy, NP, MPH

  • Family Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1780055392
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352831-01 Issued in NY
Practice address
8710 52ND Ave # 1R
Elmhurst, NY 11373-3938
Phone
(929) 326-1081
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 696300-01 NY
Family Nurse Practitioner 363LF0000X F352831-01 NY Primary

Addresses

Primary practice location

8710 52ND Ave # 1R
Elmhurst, NY 11373-3938

Mailing address

8710 51St Ave Apt 1R
Elmhurst, NY 11373-3910
Phone (917) 398-2588

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204003226 NY Practitioner - Nurse Practitioner 6800326992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696300-01NYMDRegistered Nurse
F352831-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Family Health Practice , PLLC CurrentSince Jan 1, 2025 Accepting new patients
Newtown Gastroenterology PC PastSince Sep 24, 2023 Accepting new patients

Locations

535 Morgan Ave
#1046
Brooklyn, NY 11222

Networks

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

Organizations & group practices 2

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1780055392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 51ST AVE APT 1R",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733910",
            "telephone_number": "917-398-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 52ND AVE # 1R",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733938",
            "telephone_number": "929-326-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ANNA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "696300-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352831-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.