Mary Pat Roggenburg, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F332121-1 Issued in NY

Practice address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone

(718) 226-6717

Fax

(718) 226-2450

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: marypatroggenburg@nslijmedgr.allscriptsdirect.net

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1962470450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RICHMOND TER",
            "address_2": "3F",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011501",
            "telephone_number": "718-816-4764",
            "fax_number": "718-226-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-6717",
            "fax_number": "718-226-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGENBURG",
        "first_name": "MARY PAT",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332121-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Gorvitz Occupational Therapy PC
• Lauren Rogers-Sirin, PH.D.
• Deborah Silva Rogers, LCSW
• Meghan Elizabeth Rogers, L.M.S.W
• Winsome Rogers, FNP-BC
• Yelena Roginkin
• Valentina Roginskaya, PT
• Geurys Rafael Rojas Marte, M.D.
• Malgorzata Rokoszak, RD, CDN
• Joann Roland

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.