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ROSE NKOLI EZEANI NP
NPI 1609921568
Nurse Practitioner - Adult Health in West Islip, NY

Active since January 23, 2007PECOS Enrolled
1111 MONTAUK HWY STE 2-4, WEST ISLIP, NY 11795(631) 647-9100(631) 647-9099 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2021, Aug 20, 2018, Jun 5, 2017 and 1 more (4 updates tracked since 2016).

About Rose Nkoli Ezeani Np NPPES

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

ROSE NKOLI EZEANI NP (NPI 1609921568) is an individual adult health provider in West Islip, New York, licensed in New York (303867) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609921568
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameROSE NKOLI EZEANICredential: NP
Location Address1111 MONTAUK HWY STE 2-4West Islip, NY 11795-4910
Mailing Address1111 Montauk Hwy Ste 2-4West Islip, NY 11795-4910 · (631) 647-9100 · Fax (631) 647-9099
Phone(631) 647-9100
Fax(631) 647-9099
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateFebruary 23, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1609921568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 303867
1111 MONTAUK HWY STE 2-4, West Islip, NY 11795
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Nkoli Ezeani Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rose Ezeani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Northport Medical Care PLLC
11 mi
Internal Medicine
554 LARKFIELD RD, SUITE 101
East Northport, NY 11731
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1932431103 (631) 368-9166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

SUMEET K ANAND MD
Internal Medicine
1111 MONTAUK HWY STE 2-4
WEST ISLIP, NY 11795
Suffolk County (631) 647-9100

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 Rose Ezeani's NPI number?

The NPI number for Rose Ezeani is 1609921568. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Rose Ezeani located?

Rose Ezeani practices at 1111 Montauk Hwy Ste 2-4, West Islip, NY 11795. The listed phone number is (631) 647-9100.

What is Rose Ezeani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rose Ezeani enrolled in Medicare?

Yes. Rose Ezeani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rose Ezeani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rose Ezeani reassigns Medicare benefits to East Northport Medical Care PLLC (East Northport, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rose Ezeani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rose Ezeani was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.