Individual provider Active NPI

Evans Rochaste, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1942856596
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402801 Issued in NY
Practice address
157 E 86TH St Ste 4
New York, NY 10028-2175
Phone
(718) 790-4511
Fax
(646) 908-8707
NPI assigned
Aug 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402801 NY Primary

Addresses

Primary practice location

157 E 86TH St Ste 4
New York, NY 10028-2175

Mailing address

157 E 86TH St Ste 4
New York, NY 10028-2175
Phone (718) 790-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200304000948 NY Practitioner - Nurse Practitioner 1052748027 Reassigns benefits to 1 organization
I20250324001876 NJ Practitioner - Nurse Practitioner 1052748027

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

157 E 86TH St
FL 4
New York, NY 10028-2175
Phone (718) 790-4511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
402801NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Nurse Practitioner in Psychiatry LLC Psychiatric/Mental Health CurrentSince Dec 15, 2024 Accepting new patients
Integrative Wellness Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 2, 2024 Accepting new patients

Locations

300 Carnegie Ctr
Ste 150
Princeton, NJ 08540
Phone (609) 900-3310

157 E 86th St
Fl 4
New York, NY 10028
Phone (646) 371-4142

1632 1st Ave
New York, NY 10028
Phone (850) 832-1299

666 3rd Ave
Fl 6
New York, NY 10017

Organizations & group practices 2

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1942856596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "718-790-4511",
            "fax_number": "646-809-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "718-790-4511",
            "fax_number": "646-908-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHASTE",
        "first_name": "EVANS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.