Doctor profile · Federal record
Dr. Kelly Roses
Physician Assistant · Behavioral Analyst · Specialist · Staten Island, NY
- NPI 1962070995
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
96 Edgegrove Ave
Staten Island, NY 103123312
(718) 696-7717 - Additional location
-
7000 Austin St Ste 200
Forest Hills, NY 113754739
(718) 762-7633
Credentials & registration
- NPI registered
- June 2021 — 5 yrs on file
- Profile last updated
- April 18, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #1364201191
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962070995. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$167
Transactions
6
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 6 | $167.02 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Roses's medical specialty?
Dr. Kelly Roses practices Physician Assistant in Staten Island, NY.
Where does Dr. Kelly Roses practice?
Dr. Kelly Roses practices at 96 Edgegrove Ave, Staten Island, NY 103123312. Office phone: 7186967717.
What is Dr. Kelly Roses's NPI?
Dr. Kelly Roses's National Provider Identifier (NPI) is 1962070995, issued by NPPES.
Does Dr. Kelly Roses accept Medicare assignment?
Yes. Dr. Kelly Roses accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.