MEDICARE: CARLA ROSA DE JESUS

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	363LF0000X	Family Nurse Practitioner	356687	NY

General Provider Information

NPI Number	:	1477448033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA ROSA DE JESUS

Provider Business Mailing Address
First Line	:	2918 TENBROECK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5229
Country	:	US
Telephone Number	:	917-609-2908
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 TENBROECK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5229
Country	:	US
Telephone Number	:	917-609-2908
Fax Number	:

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

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	06/12/2025

Similar Medicare Providers

1336729441 — HAFUSAH BARAGI
Practice Location Address:

1139 CLAY AVE APT 10
BRONX, NY
10456-5229

Practice Phone: 347-523-3517
Practice Fax:

1861351231 — AYISHETU A HARUNA
Practice Location Address:

3354 CORSA AVE BSMT
BRONX, NY
10469-2809

Practice Phone: 347-327-8552
Practice Fax: 347-327-8552

1417816737 — BENJAMIN'S DME LLC
Practice Location Address:

989 ALLERTON AVE
BRONX, NY
10469-4336

Practice Phone: 516-398-8183
Practice Fax: 718-405-9112

1609734185 — FATOUMATA BARRY
Practice Location Address:

3619 BRONXWOOD AVE
BRONX, NY
10469-1139

Practice Phone: 929-330-9208
Practice Fax:

1912902701 — JENNIFER C. VINCENT P.A.
Practice Location Address:

1500 ASTOR AVE , LBBY 1E
BRONX, NY
10469-5900

Practice Phone: 718-652-0003
Practice Fax: 718-652-0815

1730185810 — DR. ANTHONY JOHN TERRACIANO MD
Practice Location Address:

2241 ESPLANADE AVE
BRONX, NY
10469-5405

Practice Phone: 718-654-7122
Practice Fax:

Directions to “ CARLA ROSA DE JESUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.