Individual provider Active NPI

Rose Mary Purrazzella, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockville Centre, NY
National Provider Identifier
1811952245
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
144697 Issued in NY
Practice address
1000 N Village Ave
Mercy Medical Center
Rockville Centre, NY 11570-1000
Phone
(516) 705-2097
Fax
(516) 705-2691
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 144697 NY Primary

Addresses

Primary practice location

1000 N Village Ave
Mercy Medical Center
Rockville Centre, NY 11570-1000

Mailing address

PO Box 2126
Saint James, NY 11780-0605
Phone (516) 524-7753

Other identifiers 1

IdentifierTypeStateIssuer
01659136MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111001135 NY Practitioner - Pathology 3678537487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Pennsylvania, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology and Laboratory Consultants of Long Island PLLCGroup PAC ID 0244222115, 20 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
St Francis Hospital
Roslyn, NY 11576-1347
Phone (516) 562-6410

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3990

1000 N Village Ave
Mercy Medical Center
Rockville Center, NY 11570-1000
Phone (516) 705-2097

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 520-2374

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3064

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144697NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology and Laboratory Consultants of Long Island, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2014 Accepting new patients
Endoscopy Center of Long Island LLC CurrentSince Apr 18, 2009 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 11, 2014 Accepting new patients

Locations

6390 Fly Rd
East Syracuse, NY 13057

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

711 Stewart Ave
Garden City South, NY 11530
Phone (516) 227-3254

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1811952245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2126",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117800605",
            "telephone_number": "516-524-7753",
            "fax_number": "631-581-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N VILLAGE AVE",
            "address_2": "MERCY MEDICAL CENTER",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701000",
            "telephone_number": "516-705-2097",
            "fax_number": "516-705-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURRAZZELLA",
        "first_name": "ROSE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "144697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01659136",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.