Individual provider Active NPI

Rochelle Anna-Kaye Marriott, FNP

  • Family Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1881961118
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342977 Issued in NY
Practice address
101 Nicolls Rd
Stony Brook, NY 11794-1000
Phone
(631) 444-8478
Fax
(631) 444-7546
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 647497-1 NY
Adult Health Nurse Practitioner 363LA2200X 342977 NY
Family Nurse Practitioner 363LF0000X 342977 NY Primary

Addresses

Primary practice location

101 Nicolls Rd
Stony Brook, NY 11794-1000

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-8160
Phone (631) 444-8478

Other practice location 1

6080 Jericho Tpke Ste 314
Commack, NY 11725
Phone (646) 932-0373

Other practice location 2

3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 597-1434

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
I20190501000293 NY Practitioner - Nurse Practitioner 8921340506 Reassigns benefits to 7 organizations
Practice locations: Deer Park, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
647497-1NYMDRegistered Nurse
342977NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Dec 14, 2019 Accepting new patients
Jamaica Hospital CurrentSince Dec 14, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 25, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Jun 25, 2019 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 25, 2019 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Amb Medical Services, P.C. CurrentSince Mar 8, 2025 Accepting new patients
Nodar Janas MD PC CurrentSince Apr 1, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jun 25, 2019 Accepting new patients
Edward Condon Medical PC PastSince Oct 1, 2007 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

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

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1881961118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948160",
            "telephone_number": "631-444-8478",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117941000",
            "telephone_number": "631-444-8478",
            "fax_number": "631-444-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Jericho Tpke Ste 314",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "11725",
            "country_code": "US",
            "telephone_number": "646-932-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3198 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104581000",
            "country_code": "US",
            "telephone_number": "718-597-1434",
            "fax_number": "718-561-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "ROCHELLE",
        "middle_name": "ANNA-KAYE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647497-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "342977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.