MEDICARE: ASHLEY ROGERS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F408263	NY

General Provider Information

NPI Number	:	1205761715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ROGERS NP

Provider Business Mailing Address
First Line	:	1816 RADCLIFF AVE APT 2A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-3734
Country	:	US
Telephone Number	:	917-717-4047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1826 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2320
Country	:	US
Telephone Number	:	718-904-2871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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