JENNIFER ANN ROSE


Address: 6 Mountain Ledge, Gansevoort, NY 12831-2539
Phone: 5185840355

JENNIFER ANN ROSE (NPI# 1609211242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609211242
Entity Type Individual
Full Name JENNIFER ANN ROSE
Credential NP
Practice Address 6 Mountain Ledge
Gansevoort
NY 12831-2539
Mailing Address 711 Troy Schenectady Rd
Suite 203
Latham
NY 12110-2442
Practice Telephone 5185840355
Practice Fax Number 5185837665
Mailing Telephone 5187823700
Mailing Fax Number 5187823799
Enumeration Date 2013-05-09
Last Update Date 2015-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
382401 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03648780 05

Other Providers JENNIFER ROSE

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Office Location

Street Address 6 MOUNTAIN LEDGE
City GANSEVOORT
State NY
Zip Code 12831-2539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083673727 Stephanie E Jorgensen Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-03-21
1700246238 Zachary Gleason Registered Nurse 6 Mountain Ledge, Gansevoort, NY 12831-2539 2016-02-25
1740500222 Claudia Farrell Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2010-06-07
1043300684 Emanuel Cirenza Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-10-13
1952491599 Jami Hawthorne Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-10-13
1053401695 Laura Lecours Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-10-13
1336238716 Charles Richman Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-10-12
1164511549 Anne Marthy-noonan Pediatrics 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-10-12
1811911951 Jennifer Amy Shulof Nurse Practitioner 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538509237 Michelle Frey Physician Assistant 665 Saratoga Rd Ste 400, Wilton, NY 12831 2013-06-27
1336454198 Michael Joseph Crook Internal Medicine 1000 Mountain Rd, Mt. Mcgregor Correctional Facility, Wilton, NY 12831 2010-08-17
1346570975 Romina Tollerutti Pediatrics 31 Burnham Rd, Wilton, NY 12831 2010-01-04
1760632236 Cvs Albany LLC Durable Medical Equipment & Medical Supplies 653 Route 9, Wilton, NY 12831 2008-09-22
1104931005 Nicole Marie Byrne Dentist 659 Rt 9 Saratoga Rd, Gansevoort, NY 12831 2006-08-20
1952371635 A Better Smile Family Dentistry PC Dentist 681 Saratoga Rd Rt 9, Wilton, NY 12831 2006-01-25
1376720789 Mary Beth Lemery Licensed Practical Nurse 8 Edver Rd, Gansevoort, NY 12831-1025 2008-01-28
1437391166 Ellen Kirker Physical Therapist 23 Briarhurst Dr, Gansevoort, NY 12831-1040 2009-03-26
1083850853 Lorraine L Bruce Licensed Practical Nurse 180 Old West Rd, Gansevoort, NY 12831-1119 2008-12-29
1861766461 Jenice Janelle Young Registered Nurse 4 White Birch Ln, Gansevoort, NY 12831-1142 2012-02-28
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811911951 Jennifer Amy Shulof Nurse Practitioner 6 Mountain Ledge, Gansevoort, NY 12831-2539 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1952909012 Marina Byshovets Nurse Practitioner 164 Admiralty Loop, Staten Island, NY 10309-3964 2020-10-12
1700483799 Dmitry Pediatrics, Pediatric Nurse Practitioner PC Nurse Practitioner 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 2020-10-03
1427664572 Leigh Ann Cohen Nurse Practitioner 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 2020-09-23
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1992311567 Jyneva W Pickel Nurse Practitioner 3959 Broadway Rm 722, New York, NY 10032-1559 2020-09-19
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
1134733710 Khristan Heagle Haller Nurse Practitioner 20 Locust Ln, Bronxville, NY 10708-4933 2020-09-01
1831703412 Marijana Waite Nurse Practitioner 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 2020-09-01
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Competitor

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City GANSEVOORT
Zip Code 12831

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Dataset Information

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.

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