MRS. TERESITA VILLAROSA NP, NPI 1457353880 — NEW YORK (NY)

NPI 1457353880

14+ Years Experience Individual

MRS. TERESITA VILLAROSA NP

08/15/2005
PROVIDER ENUMERATION DATE
07.09.2007
LAST UPDATE DATE
1457353880
NPI NUMBER

About MRS. TERESITA VILLAROSA

MRS. TERESITA VILLAROSA is a provider established in NEW YORK, NY. The NPI number of MRS. TERESITA VILLAROSA is 1457353880 and was assigned on 08/15/2005. The practitioners primary taxonomy code is: 363LA2200X with license number: F301732 NY .

Mailing address

  • City: BRONX
  • State: NY
  • Postal code: 104514677
  • Phone: 2125234101
  • Fax: 2125231077
  • Address: 772 BROOK AVE
  • Address 2: APT B

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1457353880
  • Phone : 2125234101
  • Fax : 2125231077
  • Postalcode : 100251716
  • Address : 1111 AMSTERDAM AVE SLH- S&R 8TH FLOOR- EVALUATION UNIT

Additional identifiers

  • Identifier: 2060768
  • Code / Type : 5 - MEDICAID
  • Identifier state : NY

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Nurse Practitioner

  • Taxonomy code: 363LA2200X
  • License number: F301732
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • MRS. TERESITA VILLAROSA NP
  • Address : 1111 AMSTERDAM AVE SLH- S&R 8TH FLOOR- EVALUATION UNIT
  • Region : NEW YORK, NY
  • NPI : 1457353880
  • Phone : 2125234101
  • Fax : 2125231077
  • Postalcode : 100251716

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1111 AMSTERDAM AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSLH- S&R 8TH FLOOR- EVALUATION UNIT
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100251716
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2125234101
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2125231077
The fax number associated with the location address of the provider being identified.
NPI1457353880
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363LA2200X
Provider Enumeration Date08/15/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.09.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MRS. TERESITA VILLAROSA
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address772 BROOK AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressAPT B
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameBRONX
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code104514677
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2125234101
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2125231077
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1363LA2200X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Nurse Practitioner
Provider License Number 1F301732
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 12060768
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1NY
Other Provider Identifier State #1
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorX
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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