Active NPIIndividual provider

Jeffrey S Roos, CRNA

Registered Nurse in West Point, New York

NPI Number1063495364
Practice location
557A Connor RD, West Point, NY 10996-1208
Fax
—
Last updated
March 17, 2021

Jeffrey Scott Roos is a Registered Nurse based in West Point, NY. Jeffrey Scott Roos practices in West Point, NY and has the professional credentials of CRNA. The NPI Number for Jeffrey Scott Roos is 1063495364 and holds a License No. 560742 (NY). The current practice location address for Jeffrey Scott Roos is 557A Connor RD, West Point, NY 10996-1208 and can be reached out via phone at 706-573-1794.

Provider Profile Details

NPI Number
1063495364
Provider Name
Jeffrey Scott Roos
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
557A Connor RD, West Point, NY 10996-1208
Phone Number
706-573-1794
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2005
Last Update Date
March 17, 2021
Certification Date
March 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
557A Connor RD
West Point, NY 10996-1208
Zip
10996-1208
Phone Number
706-573-1794
West Point, NY 10996Get directions →

Provider Business Mailing Address Details

Address
6 Ridgecrest Ln
Bristol, CT 06010-2909
City
Bristol
State
CT
Zip
06010-2909
Phone Number
706-573-1794

License Information

License Number
560742
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeffrey S Roos, CRNA?

The NPI number of Jeffrey S Roos, CRNA is 1063495364. It was assigned on November 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Jeffrey S Roos, CRNA?

Jeffrey S Roos, CRNA is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 560742.

Where does Jeffrey S Roos, CRNA practice?

The practice location is 557A Connor RD, West Point, NY 10996-1208. The office can be reached at 706-573-1794 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063495364 directly on the NPPES registry website.

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