Individual provider Active NPI

Roselind Kwaamah Bruce-Vanderpuije, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1962093294
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346696 Issued in NY
Practice address
1530 Bedford Ave # 2
Brooklyn, NY 11216-4117
Phone
(347) 404-6508
Fax
(718) 484-2415
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346696 NY Primary

Addresses

Primary practice location

1530 Bedford Ave # 2
Brooklyn, NY 11216-4117

Mailing address

1530 Bedford Ave # 2
Brooklyn, NY 11216-4117
Phone (347) 404-6508

Other identifiers 2

IdentifierTypeStateIssuer
06432439MedicaidNY
346696OtherNYNYSED

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
I20210316001554 NY Practitioner - Nurse Practitioner 6507272606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Heights Health Center, Inc.Group PAC ID 3072798172, shared by 6 NPIs, 49 clinicians

Practice addresses (Care Compare)

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 483-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
346696NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Matthew Jones Medicine, PLLC CurrentSince Aug 17, 2024 Accepting new patients
New York University Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: roselind.bruce-vanderpuije.1@34190.direct.athenahealth.com
  • Direct secure messaging: roselind.brucevanderpuij.p1@direct.mhhc.nextgenshare.com

Organizations & group practices 3

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1962093294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BEDFORD AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164117",
            "telephone_number": "347-404-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BEDFORD AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164117",
            "telephone_number": "347-404-6508",
            "fax_number": "718-484-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE-VANDERPUIJE",
        "first_name": "ROSELIND",
        "middle_name": "KWAAMAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06432439",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "346696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.