CAROL M ROGERS CONP NPI 1790774354

NPI Information

  • NPI: 1790774354
  • Provider Name: CAROL M ROGERS, CONP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 30 HARRISON ST
    SUITE 100
    JOHNSON CITY, NY
    ZIP 13790
  • Phone: (607) 763-6850

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NPI Details

Carol M Rogers, CONP is a family nurse practitioner in Johnson City, NY. Carol M Rogers, CONP NPI is 1790774354. 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:

30 HARRISON ST
SUITE 100
JOHNSON CITY, NY
ZIP 13790-161
Phone: (607) 763-6850
Fax: (607) 763-6703

The enumeration date for this NPI number is 10/17/2005 and was last updated on 9/11/2025.

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
1363L00000XNurse PractitionerF3700121NEW YORKNo
2363LF0000XNurse PractitionerFamilyF3301131NEW YORKYes

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
102204277MEDICAIDNEW 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: 11/21/2025

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