Individual provider Active NPI

Rosita Gubio Defino, MS, RN, NP-C

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1891248613
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307884 Issued in NY
Practice address
158 E 84TH St
New York, NY 10028-2005
Phone
(212) 535-6340
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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 307884 NY Primary
Primary Care Nurse Practitioner 363LP2300X 307884 NY

Addresses

Primary practice location

158 E 84TH St
New York, NY 10028-2005

Mailing address

525 Raft Ave
Holbrook, NY 11741-5909
Phone (631) 880-2446

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
I20170505001432 NY Practitioner - Nurse Practitioner 5092092775 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
307884NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Surgical Associates, University Faculty Practice Corporati CurrentSince Sep 30, 2021 Accepting new patients
Family Service League, Inc. CurrentSince Dec 29, 2025 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 28, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 28, 2019 Accepting new patients

Locations

14004 58th Rd
Flushing, NY 11355
Phone (718) 463-4155

90 Adams Ave
Hauppauge, NY 11788
Phone (631) 392-0081

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

1190 5th Ave
#2W
New York, NY 10029
Phone (212) 241-5646

Networks

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

Interoperability endpoints

  • Direct secure messaging: rosita.defino@direct.stonybrookmedicine.edu

Organizations & group practices 5

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1891248613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RAFT AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117415909",
            "telephone_number": "631-880-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282005",
            "telephone_number": "212-535-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFINO",
        "first_name": "ROSITA",
        "middle_name": "GUBIO",
        "name_prefix": "Ms.",
        "credential": "MS, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307884",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "307884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.