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ROSE MYRLENE SURPRISE
NPI 1750829024
Nurse Practitioner - Family in Bellport, NY

Active since February 07, 2017
107 S COUNTRY RD, BELLPORT, NY 11713(631) 286-2222 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, Mar 28, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Rose Myrlene Surprise NPPES

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

ROSE MYRLENE SURPRISE (NPI 1750829024) is an individual family provider in Bellport, New York, licensed in New York (F340052-1) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1750829024
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSE MYRLENE SURPRISE
Location Address107 S COUNTRY RDBellport, NY 11713-2523
Mailing Address107 S Country RdBellport, NY 11713-2523 · (631) 286-2222
Phone(631) 286-2222
Sole ProprietorYes
Enumeration DateFebruary 7, 2017
Last NPPES UpdateApril 13, 20225 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1750829024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F340052-1
107 S COUNTRY RD, Bellport, NY 11713
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Other Identifiers 1

Medicaid01259347NY

Other Providers at the Same Location NPPES 12

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

AIMAN SYED
Nurse Practitioner (Family)
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (631) 286-2222
WERNER KELLER RPH
Pharmacist
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (631) 286-2222
KATHIA DUVERNE-DOUYON
Nurse Practitioner (Psychiatric/Mental Health)
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (516) 916-6340
JUSTINA S LIN PHARMD
Pharmacist
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (631) 286-2222
DR. ARIEL CHEN PHARM. D
Pharmacist
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (631) 286-2222
CVS ALBANY LLC
Pharmacy
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (631) 286-2222
CHIOMA OGBOGU -CHUKWUEMEKA FNP
Nurse Practitioner (Family)
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (866) 389-2727
MRS. JESSICA FLANAGAN FNP
Nurse Practitioner (Family)
107 S COUNTRY RD
BELLPORT, NY 11713
Suffolk County (631) 286-2222

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 Surprise's NPI number?

The NPI number for Rose Surprise is 1750829024. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Where is Rose Surprise located?

Rose Surprise practices at 107 S Country Rd, Bellport, NY 11713. The listed phone number is (631) 286-2222.

What is Rose Surprise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rose Surprise was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.