MS. SUSAN ROGGEN TANKE CNM NP NPI 1588740880

NPI Information

NPI: 1588740880
Provider Name: MS. SUSAN ROGGEN TANKE, CNM, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1400 PELHAM PARKWAY SOUTH
BUILDING 1 3 WEST 7
BRONX, NY
ZIP 10461
Phone: (718) 918-5446
Get Directions

MS. Susan Roggen Tanke, CNM, NP is a women's health nurse practitioner in Bronx, NY. MS. Susan Roggen Tanke, CNM, NP NPI is 1588740880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 PELHAM PARKWAY SOUTH
BUILDING 1 3 WEST 7
BRONX, NY
ZIP 10461
Phone: (718) 918-5446
Fax: (718) 918-6787

The NPI 1588740880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/29/2006 and was last updated on 12/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	176B00000X	Midwife		F000783	NEW YORK	No
2	363LW0102X	Nurse Practitioner	Women's Health	F420555	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02297698	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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