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

Roannie Divine Papa Santos, FNP

Individual provider Family Nurse Practitioner · NPI 1275925877

Roannie Divine Papa Santos, FNP is a Nurse Practitioner in Bayside, New York. Qualified in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4401 Francis Lewis Blvd Ste L3A
Bayside, NY 11361-3028
Phone: (718) 423-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave L. Levy Place, New York, NY 10029 — (212) 241-6500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339421-1 (NY)

Record details

NPI number1275925877
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 19, 2015
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bayside