=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164950143
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | XIMENA ROSSATO-BENNETT MSN, FNP-C, CNM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2017
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18 E 41ST ST RM 2002
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10017-6215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-481-4998
-----------------------------------------------------
Fax | 646-434-0755
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18 E 41ST ST RM 2002
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10017-6215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-481-4998
-----------------------------------------------------
Fax | 646-434-0755
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367A00000X
-----------------------------------------------------
Taxonomy Name | Advanced Practice Midwife
-----------------------------------------------------
License Number | 001847
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 341649
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------