Individual provider Active NPI

Rosemary A. Verow-Freitag, RPA-C

  • Physician Assistant
  • West Islip, NY
National Provider Identifier
1972736429
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003242-1 Issued in NY
Practice address
556 Montauk Hwy.
West Islip, NY 11795-4407
Phone
(631) 321-4811
Fax
(631) 321-4814
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003242-1 NY Primary

Addresses

Primary practice location

556 Montauk Hwy.
West Islip, NY 11795-4407

Mailing address

556 Montauk Highway
West Islip, NY 11795-4407
Phone (631) 321-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003242-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1972736429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 MONTAUK HIGHWAY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954407",
            "telephone_number": "631-321-4811",
            "fax_number": "631-321-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MONTAUK HWY.",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954407",
            "telephone_number": "631-321-4811",
            "fax_number": "631-321-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEROW-FREITAG",
        "first_name": "ROSEMARY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003242-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.