Individual provider Active NPI

Ernesto Moreno Rosabal, FNP, RN

  • Nurse Practitioner
  • Woodhaven, NY
National Provider Identifier
1821943218
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F359412 Issued in NY
Practice address
7924 Jamaica Ave
Woodhaven, NY 11421-1801
Phone
(718) 805-0037
Fax
(866) 221-0879
NPI assigned
Mar 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X F359412 NY Primary

Addresses

Primary practice location

7924 Jamaica Ave
Woodhaven, NY 11421-1801

Mailing address

PO Box 211226
Woodhaven, NY 11421-6226
Phone (832) 404-1917

Other practice location 1

8616 Jamaica Ave
Woodhaven, NY 11421-2042
Phone (718) 805-0037

Other practice location 2

7602 Jamaica Ave
Woodhaven, NY 11421-1850
Phone (718) 805-0037

Other practice location 3

6414 Myrtle Ave
Glendale, NY 11385-6203
Phone (718) 805-0037

Other practice location 4

11208 Springfield Blvd
Queens Village, NY 11429-2650
Phone (718) 805-0037

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
I20260608001615 NY Practitioner - Nurse Practitioner 6305317652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10213 Falcon Moss LN
Apt 207
Orlando, FL 32832-5509

10213 Falcon Moss LN Apt
Suite 207
Orlando, FL 32832-5510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005960PRMDNurse Practitioner

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": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1821943218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211226",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114216226",
            "telephone_number": "832-404-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211801",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8616 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "NY",
            "postal_code": "114212042",
            "country_code": "US",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7602 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "NY",
            "postal_code": "114211850",
            "country_code": "US",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6414 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113856203",
            "country_code": "US",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11208 Springfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114292650",
            "country_code": "US",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO ROSABAL",
        "first_name": "ERNESTO",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F359412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.