ANGELA ROTELLA
NPI 1376022707
Licensed Practical Nurse in Watertown, NY

Active since August 07, 2018
211 J.B. WISE PLAZA, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2020, Aug 7, 2018 (2 updates tracked since 2018).

About Angela Rotella NPPES

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

ANGELA ROTELLA (NPI 1376022707) is an individual licensed practical nurse in Watertown, New York, licensed in New York (327890) and active in the NPI registry since August 2018. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1376022707
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA ROTELLA
Location Address211 J.B. WISE PLAZAWatertown, NY 13601
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1376022707 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 · 327890
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.

211 J.B. WISE PLAZA, Watertown, NY 13601

Secondary Practice Location 1

Location 1167 Polk St Ste 300Watertown, NY 13601-2770 · Phone (315) 782-7445 · Fax (315) 779-1184

Other Identifiers 1

Medicaid3372621NY

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Nurse Practitioner (Psychiatric/Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Nurse Practitioner (Psychiatric/Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Social Worker (Clinical)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Social Worker
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Registered Nurse (Case Management)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376022707, enumerated as an "individual" on August 07, 2018.

The provider is located at 211 J.B. WISE PLAZA WATERTOWN, NY 13601 and the phone number is (315) 782-7445.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.