MS. SUSAN ROGGEN TANKE (NPI# 1588740880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588740880 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ROGGEN TANKE |
| Credential | CNM, NP |
| Practice Address |
1400 Pelham Parkway South Building 1 3 West 7 Bronx NY 10461 |
| Practice Telephone | 7189185446 |
| Practice Fax Number | 7189186787 |
| Mailing Telephone | 7189185446 |
| Mailing Fax Number | 7189186787 |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2017-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | F000783 | NY | Other Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F420555 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02297698 | 05 |
| Street Address |
1400 PELHAM PARKWAY SOUTH BUILDING 1 3 WEST 7 |
| City | BRONX |
| State | NY |
| Zip Code | 10461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336114453 | Bernadette N. Nelson | Nurse Practitioner | 1400 Pelham Parkway South, Jacobi Medical Center, Bronx, NY 10461 | 2006-02-22 |
| 1003421496 | Ana Mariela Morales Mejia | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Bronx, NY 10461 | 2020-09-11 |
| 1780200816 | Chen Chao | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Jacobi Medical Center, Bronx, NY 10461 | 2020-06-24 |
| 1750918587 | Benjamin K Liu | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Building 6, Suite B125, Bronx, NY 10461-1138 | 2020-03-23 |
| 1790337251 | Angelos Arfaras Melainis | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Bronx, NY 10461 | 2019-07-15 |
| 1871151225 | Adam Joshua Rossi | Psychologist | 1400 Pelham Parkway South, Acs 146-20, Bronx, NY 10461 | 2019-05-31 |
| 1568029882 | Evan Maxwell Wright | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Building 4 - 6th Floor 6511, Bronx, NY 10461 | 2019-05-22 |
| 1376017632 | Ryan Angela Dimayuga | Registered Nurse | 1400 Pelham Parkway South, Bldg 1, 9 West, Bronx, NY 10461 | 2019-01-18 |
| 1245734706 | Styve Pamphile | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Building 6//suite B125, Bronx, NY 10461-2401 | 2018-03-20 |
| 1346744109 | Jenny Chang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South, Building 6/suite B125, Bronx, NY 10461 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833375 | Anastasiya B Skorobogatova | Nurse Practitioner | 620 Reiss Pl Apt 6k, Bronx, NY 10467-8062 | 2019-07-23 |
| 1780087718 | Rashaunna K Redd | Nurse Practitioner | 390 E 158th St, Bronx, NY 10451-4466 | 2014-10-05 |
| 1871993121 | Su Thet | Nurse Practitioner | 4422 3rd Ave Fl 5, Bronx, NY 10457-2545 | 2014-08-23 |
| 1437212875 | Mary Ann Hennessy | Nurse Practitioner | 1400 Pelham Pkwy S Bldg 5 # 6a, Bronx, NY 10461-1138 | 2006-12-18 |
| 1821021072 | Mendis Jones-malik | Nurse Practitioner | 324 E 149th St, Bronx, NY 10451-5602 | 2006-07-09 |
| 1285624106 | Johnetta Miner | Nurse Practitioner | 140 Darrow Pl, Suite 16b, Bronx, NY 10475-1802 | 2005-10-22 |
| 1174123574 | Harriet Adwoa Yeboah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1992304604 | Angelique Saavedra | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-23 |
| 1417505298 | Amani Ashley Hambric | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2019-08-26 |
| 1457914244 | Nada Hannawi | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2019-04-17 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.