MARIE MADELAINE DEROSENA - NPI 1629404470 - Licensed Practical Nurse in Brooklyn, NY

Q: What is Marie Derosena's NPI number?

The NPI number for Marie Derosena is 1629404470. It was assigned to this individual provider in the NPPES registry on September 24, 2013.

Q: What is Marie Derosena'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 Marie Derosena was last updated on June 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marie Madelaine Derosena NPPES

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

MARIE MADELAINE DEROSENA (NPI 1629404470) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (311801) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1629404470

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARIE MADELAINE DEROSENA

Location Address2920 CORTELYOU RD # ABrooklyn, NY 11226-6313

Mailing Address2920 Cortelyou Rd # ABrooklyn, NY 11226-6313 · (917) 239-3094 · Fax (718) 287-4600

Phone(917) 239-3094

Fax(718) 287-4600

Sole ProprietorYes

Enumeration DateSeptember 24, 2013

Last NPPES UpdateJune 28, 2026

✔ NPI 1629404470 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 · 311801

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.

2920 CORTELYOU RD # A, Brooklyn, NY 11226

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