Individual provider Active NPI

Roza Vaksengiser, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1881993400
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346574 Issued in NY
Practice address
305 East 86TH St
New York, NY 10028-6849
Phone
(212) 722-2003
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346574 NY Primary
Registered Nurse 163W00000X 604232-1 NY

Addresses

Primary practice location

305 East 86TH St
New York, NY 10028-6849

Mailing address

305 East 86TH St
New York, NY 10028-6849
Phone (212) 722-2003

Other practice location 1

2740 Cropsey Ave
apt 7A
Brooklyn, NY 11214-6849
Phone (718) 373-3212

Other identifiers 1

IdentifierTypeStateIssuer
F346574-01OtherNYNURSE PRACTITIONER IN FAMILY HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cvs.com/minuteclinic Direct

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
I20210816003190 NY Practitioner - Nurse Practitioner 8426453366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
604232-1NYMDRegistered Nurse
F346574NYMDFamily Nurse Practitioner

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1881993400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286849",
            "telephone_number": "212-722-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAST 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286849",
            "telephone_number": "212-722-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 Cropsey Ave",
            "address_2": "apt 7A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112146849",
            "country_code": "US",
            "telephone_number": "718-373-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAKSENGISER",
        "first_name": "ROZA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346574",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "604232-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER  IN FAMILY HEALTH",
            "identifier": "F346574-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cvs.com/minuteclinic",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "305 EAST 86TH ST",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100286849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.