Individual provider Active NPI

Lauren Marie Rokjer, NP

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1841815966
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345942 Issued in NY
Practice address
21 Pinewood Dr
Clifton Park, NY 12065-4812
Phone
(518) 391-0586
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345942 NY Primary

Addresses

Primary practice location

21 Pinewood Dr
Clifton Park, NY 12065-4812

Mailing address

21 Pinewood Dr
Clifton Park, NY 12065-4812
Phone (518) 391-0586

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
I20210524000955 NY Practitioner - Nurse Practitioner 1456768241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Dermatology, PCGroup PAC ID 3375434046, 14 clinicians

Practice addresses (Care Compare)

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 479-4156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
345942NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Dermatology, PC CurrentSince Jun 7, 2021 Accepting new patients
Medical Director Services PC CurrentSince Apr 22, 2021 Accepting new patients

Locations

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1547 Columbia Tpke
Castleton on Hudson, NY 12033
Phone (518) 479-4156

113 Hudson Ave
Chatham, NY 12037
Phone (518) 392-6742

132 MacArthur Ave
Cobleskill, NY 12043
Phone (518) 234-8745

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

1770 Route 9
Ste 202
Halfmoon, NY 12065
Phone (518) 631-2933

461 Clinton St Ext
Schenectady, NY 12305
Phone (518) 374-7222

461 Clinton St Ext
#1
Schenectady, NY 12305
Phone (518) 374-7222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1841815966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PINEWOOD DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654812",
            "telephone_number": "518-391-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PINEWOOD DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654812",
            "telephone_number": "518-391-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKJER",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.