GLORIA ROA
NPI 1154850741
Licensed Practical Nurse in Brooklyn, NY

Q: What is Gloria Roa's NPI number?

The NPI number for Gloria Roa is 1154850741. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Q: What is Gloria Roa's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Roa was last updated on June 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2017

630 FLUSHING AVE, BROOKLYN, NY 11206(718) 828-2666 Get Directions Write a Review

NPPES record last updated: June 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Gloria Roa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORIA ROA (NPI 1154850741) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (311077) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1154850741

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameGLORIA ROA

Location Address630 FLUSHING AVEBrooklyn, NY 11206-5026

Mailing AddressPo Box 2133Newburgh, NY 12550-0313 · (718) 828-2666

Phone(718) 828-2666

Sole ProprietorYes

Enumeration DateJune 7, 2017

✔ NPI 1154850741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 311077

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

630 FLUSHING AVE, Brooklyn, NY 11206

Open in Google Maps ↗