MR. NEIL ROECKLEIN (NPI# 1629528518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629528518 |
| Entity Type | Individual |
| Full Name | MR. NEIL ROECKLEIN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
140 Old Orangeburg Rd Orangeburg NY 10962 |
| Mailing Address |
140 Old Orangeburg Rd Orangeburg NY 10962-1157 |
| Practice Telephone | 8453591000 |
| Mailing Telephone | 8453591000 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2018-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00561300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401999-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Park Ave, Dumont, NJ 07628 | 2013854400 | |
| 93 W Palisade Ave, Englewood, NJ 076312611 | 2015670500 | |
| 140 Old Orangeburg Rd, Orangeburg, NY 10962 | 8453591000 |
| Street Address |
140 OLD ORANGEBURG RD |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386904 | Edward Richard Herman | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2006-02-22 |
| 1629696489 | Angela Cabble | Counselor | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-07-08 |
| 1558985150 | Faryal Majid Glootz | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-31 |
| 1538781653 | Charles Mathew | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-12 |
| 1720615933 | Kerry Ann Walsh | Registered Nurse | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-03-26 |
| 1922631662 | Margaret Bocage | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962 | 2020-02-21 |
| 1598310120 | Marlee Elizabeth Fickes | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-08-09 |
| 1720631963 | Moise Kenneth Belizaire | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-07-17 |
| 1356825202 | Kate Cingel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-09-17 |
| 1407341266 | Nashony Sappleton | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1982229464 | Keisha Sharie Yarborough | Nurse Practitioner | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2020-06-10 |
| 1720631963 | Moise Kenneth Belizaire | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-07-17 |
| 1407341266 | Nashony Sappleton | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-06-25 |
| 1659773372 | Henry Mendez | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
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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.