ANNETTE ROLDAN
NPI 1629458500
Social Worker in Bronx, NY

Active since June 04, 2015PECOS Enrolled

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Annette Roldan NPPES

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

ANNETTE ROLDAN (NPI 1629458500) is an individual social worker in Bronx, New York, licensed in New York (088198) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629458500
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANNETTE ROLDAN
Location Address4123 3RD AVEBronx, NY 10457-6222
Mailing Address145 W 15th St, 2nd FloorNew York, NY 10011-6701
Sole ProprietorNo
Enumeration DateJune 4, 2015
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1629458500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 088198
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4123 3RD AVE, Bronx, NY 10457

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Roldan 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 Reassignments

2

Medicare enrollment records show Annette Roldan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
85 W BURNSIDE AVE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group

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

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.

Social Worker (Clinical)
4123 3RD AVE
BRONX, NY 10457
Social Worker
4123 3RD AVE
BRONX, NY 10457
Social Worker
4123 3RD AVE
BRONX, NY 10457
Social Worker
4123 3RD AVE
BRONX, NY 10457
Social Worker (Clinical)
4123 3RD AVE
BRONX, NY 10457
Community/Behavioral Health
4123 3RD AVE
BRONX, NY 10457
Social Worker
4123 3RD AVE
BRONX, NY 10457
Social Worker (Clinical)
4123 3RD AVE
BRONX, NY 10457

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 Annette Roldan's NPI number?

The NPI number for Annette Roldan is 1629458500. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Annette Roldan located?

Annette Roldan practices at 4123 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 299-3045.

What is Annette Roldan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Annette Roldan enrolled in Medicare?

Yes. Annette Roldan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Annette Roldan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Roldan reassigns Medicare benefits to 2 organizations: Morris Heights Health Center, Inc. (Bronx, NY) and Sun River Health Inc (Bronx, NY). Each 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 Annette Roldan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annette Roldan accept?

Health plans from Oscar Health list Annette Roldan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annette Roldan was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.