Individual provider Active NPI

Rosamma Saji, NP

  • Adult Health Nurse Practitioner
  • Garden City Park, NY
National Provider Identifier
1861978561
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308768 Issued in NY
Practice address
167 Marcus Ave
Garden City Park, NY 11040-3428
Phone
(516) 385-5739
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 308768 NY
Adult Health Nurse Practitioner 363LA2200X 308768 NY Primary

Addresses

Primary practice location

167 Marcus Ave
Garden City Park, NY 11040-3428

Mailing address

167 Marcus Ave
Garden City Park, NY 11040-3428
Phone (516) 385-5739

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
I20180910002816 NY Practitioner - Nurse Practitioner 7517217730 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Rock Medical PCGroup PAC ID 4082132113, 2 clinicians
Queens Internal Medicine and Geriatric PCGroup PAC ID 1456352327, 2 clinicians

Practice addresses (Care Compare)

243 Atlantic Ave
Lynbrook, NY 11563-3552
Phone (718) 568-9120

4405 Parsons Blvd
Flushing, NY 11355-2183
Phone (718) 321-7829

645 W Broadway
Long Beach, NY 11561-2956
Phone (718) 568-9120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308768NYMDNeurological Surgery Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Ion Oltean Physician PC CurrentSince Aug 4, 2019 Accepting new patients
Rock Medical PC CurrentSince Mar 16, 2025 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Parkway Pain Care & Rehabilitation P.C. CurrentSince Apr 26, 2021 Accepting new patients
Queens Internal Medicine & Geriatric PC CurrentSince Feb 2, 2022 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Island Renal Physicians PC Past Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

250 Pettit Ave
Ste 101
Bellmore, NY 11710

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800

5014 16th Ave
Ste 13
Brooklyn, NY 11204
Phone 9143594420103

35 Spencer St
Ste 200
Brooklyn, NY 11205

3515 Parsons Blvd
Flushing, NY 11354
Phone (718) 961-3500

4405 Parsons Blvd
Flushing, NY 11355
Phone (718) 321-7829

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

46 Harriman Dr
Goshen, NY 10924
Phone (845) 291-3700

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

8814 Sutphin Blvd
Fl 2
Jamaica, NY 11435
Phone (718) 568-9120

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

243 Atlantic Ave
Lynbrook, NY 11563
Phone (516) 599-2744

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

364 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 536-3366

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1458/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1861978561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MARCUS AVE",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110403428",
            "telephone_number": "516-385-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MARCUS AVE",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110403428",
            "telephone_number": "516-385-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJI",
        "first_name": "ROSAMMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "308768",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City Park, NY

Sources for this page

Verify at the official NPI Registry.