| Jessica Elizabeth Rough, | |
|
30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 | |
| (845) 359-0010 | |
| (845) 359-3414 |
| Full Name | Jessica Elizabeth Rough |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 30 Ramland Rd S Ste 200a, Orangeburg, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467114306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | F347757 (New York) | Primary |
| Entity Name | Boston Children's Health Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Elizabeth Rough, 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 Ph: (845) 359-0010 | Jessica Elizabeth Rough, 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 Ph: (845) 359-0010 |
India Westcott Robinson, MS, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 470 Western Hwy, Orangeburg, NY 10962 Phone: 727-267-0377 | |
Diane M. Sirakovsky, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Dutchess Dr, Orangeburg, NY 10962 Phone: 845-521-8833 | |
Mr. Sanny Paningbatan Jr., FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 279 Blaisdell Rd, Orangeburg, NY 10962 Phone: 845-313-1087 | |
Renette Casseus-dametas, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Old Orangeburg Rd, Orangeburg, NY 10962 Phone: 845-359-1000 | |
Mrs. Addoye Ruda, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 W Orangeburg Rd, Orangeburg, NY 10962 Phone: 191-442-6750 | |
Mrs. Eva Humbach, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 470 Western Hwy, Orangeburg, NY 10962 Phone: 845-848-7917 Fax: 845-359-7227 | |
Nashony Sappleton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Old Orangeburg Rd, Orangeburg, NY 10962 Phone: 845-680-8546 |