Genese Roberson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

334142-1 Issued in NY

Practice address

40 Phillips Walk
West Babylon, NY 11704-7311

Phone

(631) 379-4114

NPI assigned

Jan 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1891325882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PHILLIPS WALK",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PHILLIPS WALK",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047311",
            "telephone_number": "631-379-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "GENESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risewell Community Services
• Allyan Watson Rivera Orsini, LCSW RBCD
• Jessica Leigh Rivera, MS, CCC-SLP
• Keisha Nicole Rivers
• Laura A Rizzi, PA
• Joy Roberts, LCSW
• Samantha L Robertson, OTR/L
• Francisco Michael Rodrigues, PHARM D.
• Chris Romanger
• Carissa J Romano, R-PAC

• Licensed Practical Nurse in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.