Active NPI
Adrienne R Rogers, M.D.
- Pediatrics Physician
- Purchase, NY
National Provider Identifier
1831270453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 178796
- Practice address
- 3030 Westchester Ave
Purchase, NY 10577-2574 - Phone
- (914) 607-6260
- Fax
- (914) 607-6261
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 178796 | NY | Primary |
Addresses
Primary practice location
3030 Westchester Ave
Purchase, NY 10577-2574
Mailing address
800 Westchester Ave Ste N715
Rye Brook, NY 10573-1369
Phone (914) 607-5730
Other practice location 1
99 Fieldstone Dr
Hartsdale, NY 10530-1564
Phone (914) 428-2120 ext. 100
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132625705 | Other | NM | POMCO |
| 14732 | Other | NY | HEALTH SOURCE |
| 3488802004 | Other | NY | CIGNA |
| 01356716 | Medicaid | NY | |
| 5553578 | Other | NY | AETNA PPO |
| 132625705 | Other | NY | UNITED |
| 132625705 | Other | NM | EMPIRE PLAN |
| 1C7497 | Other | NY | HEALTH NET |
| 1015261 | Other | NY | AETNA HMO |
| 540131 | Other | NY | EMPIRE BCBS |
| P658369 | Other | NY | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221202000570 | NY | Practitioner - Pediatric Medicine | 6406224096 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178796 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- adrienne.rogers.1@21260.direct.athenahealth.com
- adrogers@hiemail.healtheconnections.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1831270453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WESTCHESTER AVE STE N715",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105731369",
"telephone_number": "914-607-5730",
"fax_number": "914-457-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772574",
"telephone_number": "914-607-6260",
"fax_number": "914-607-6261"
}
],
"practiceLocations": [
{
"address_1": "99 Fieldstone Dr",
"address_purpose": "LOCATION",
"city": "Hartsdale",
"state": "NY",
"postal_code": "105301564",
"country_code": "US",
"telephone_number": "914-428-2120 x100",
"fax_number": "914-428-1989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "ADRIENNE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "178796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "132625705",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SOURCE",
"identifier": "14732",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3488802004",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01356716",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5553578",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "132625705",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "132625705",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1C7497",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1015261",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "540131",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P658369",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.