Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Rose

Individual provider Registered Nurse · NPI 1144635715

Jordan Rose is a Registered Nurse in Massapequa Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

132 Harbor Ln
Massapequa Park, NY 11762-4003 Not confirmed with CMS for 12 years — call before visiting
Phone: (516) 799-1820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 679239 (NY)

Record details

NPI number1144635715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014

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