Healthcare Provider Details

I. General information

NPI: 1912856428
Provider Name (Legal Business Name): BEVERLY ROPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2581 ATLANTIC AVE
BROOKLYN NY
11207-2412
US

IV. Provider business mailing address

25 BROAD ST
NEW YORK NY
10004-2517
US

V. Phone/Fax

Practice location:
  • Phone: 718-495-6700
  • Fax:
Mailing address:
  • Phone: 212-385-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: