ROSANNA ADIS PA
NPI 1174812481
Physician Assistant - Medical in Jamaica, NY

Active since April 07, 2011PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(718) 883-3000 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rosanna Adis Pa NPPES

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

ROSANNA ADIS PA (NPI 1174812481) is an individual medical provider in Jamaica, New York, licensed in New York (23014721) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174812481
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameROSANNA ADISCredential: PA
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address5 Sutton St, Apt PhBrooklyn, NY 11222-5142 · (845) 269-5073
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 7, 2011
NPI 1174812481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 23014721
8268 164TH ST, Jamaica, NY 11432

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rosanna Adis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799269809
PECOS Enrollment IDI20260317003103
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosanna Adis's NPI number?

The NPI number for Rosanna Adis is 1174812481. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Rosanna Adis located?

Rosanna Adis practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3000.

What is Rosanna Adis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rosanna Adis enrolled in Medicare?

Yes. Rosanna Adis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rosanna Adis was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.