Active NPI
Karolyn Zulema Rosa de Jesus, FNP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350968
- Practice address
- 2721 Bronxwood Ave
Bronx, NY 10469-3642 - Phone
- (347) 736-0207
- Fax
- (347) 736-0207
- NPI assigned
- Dec 15, 2022
- 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 | 350968 | NY | Primary |
Addresses
Primary practice location
2721 Bronxwood Ave
Bronx, NY 10469-3642
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730
Other practice location 1
1953 University Ave
Bronx, NY 10453-4404
Phone (718) 765-6054
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop_Smartphones | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11515 Sutphin Blvd
Jamaica, NY 11434-1020
Phone (718) 765-6009
2721 Bronxwood Ave
Bronx, NY 10469-3642
Phone (718) 765-6350
455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350968 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Myers Medical, P.C. | Family | Current | Accepting new patients |
Locations
1953 Dr Martin L King Jr Blvd
Bronx, NY 10453
2721 Bronxwood Ave
Bronx, NY 10469
Phone (347) 736-0207
455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550
11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1780396259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 BRONXWOOD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104693642",
"telephone_number": "347-736-0207",
"fax_number": "347-736-0207"
}
],
"practiceLocations": [
{
"address_1": "1953 University Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104534404",
"country_code": "US",
"telephone_number": "718-765-6054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSA DE JESUS",
"first_name": "KAROLYN",
"middle_name": "ZULEMA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350968",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop_Smartphones",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1370 Saint Nicholas Ave Apt 27N",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100336233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.