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
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
Mailing address132 Harbor Ln, Massapequa Park, NY 11762-4003

Other providers in Massapequa Park