Individual provider Active NPI

Rowyna Bohlen, ADULT NP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1861558504
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303310 Issued in NY
Practice address
Stony Brook University Hospital
HSC T-17-040, Nicolls Rd
Stony Brook, NY 11790-1179
Phone
(631) 444-3655
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303310 NY
Adult Health Nurse Practitioner 363LA2200X F303310 NY Primary

Addresses

Primary practice location

Stony Brook University Hospital
HSC T-17-040, Nicolls Rd
Stony Brook, NY 11790-1179

Mailing address

7 Stuvesant Circle West
E Setauket, NY 11733
Phone (631) 428-3910

Other practice location 1

220 Veterans Hwy
Hauppauge, NY 11788
Phone (631) 979-0922 ext. 5965

Other names 1

  • Rowyna Bohlen Other name

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
I20050314000054 NY Practitioner - Nurse Practitioner 9436104452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5220

26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580

PO Box
Suite 1554
Stony Brook, NY 11790-0989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303310NYMDLicensed Practical Nurse
F303310NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Aug 2, 2021 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Jan 19, 2019 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Aug 2, 2021 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Current Accepting new patients
Phoenix Houses of Long Island, Inc. CurrentSince Oct 1, 2005 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Past Accepting new patients
Mantia Medical Associates Past Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients

Locations

222 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone (631) 979-0922

220 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone (631) 406-5518

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

2500 Route 347
Bldg 14A
Stony Brook, NY 11790
Phone (631) 689-7000

100 Nicolls Rd
#13202
Stony Brook, NY 11794

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Networks

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

Interoperability endpoints

  • Direct secure messaging: rowyna.bohlen@direct.stonybrookmedicine.edu

Organizations & group practices 9

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 6

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1861558504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STUVESANT CIRCLE WEST",
            "city": "E SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-428-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "HSC T-17-040, NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901179",
            "telephone_number": "631-444-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Veterans Hwy",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "11788",
            "country_code": "US",
            "telephone_number": "631-979-0922 x5965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHLEN",
        "first_name": "ROWYNA",
        "name_prefix": "Ms.",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303310",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROWYNA",
            "last_name": "BOHLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.