DR. LUCY PONTRELLI (NPI# 1770526113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770526113 |
| Entity Type | Individual |
| Full Name | DR. LUCY PONTRELLI |
| Credential | M.D. |
| Practice Address |
2066 Richmond Ave 1st Fl Suite 1l Staten Island NY 10314-3960 |
| Practice Telephone | 7189829001 |
| Practice Fax Number | 7189829008 |
| Mailing Telephone | 7189829001 |
| Mailing Fax Number | 7189829008 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
204199 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02082039 | 05 | |
| NY | EMPIRE BC.BS | 0B2121 | 01 |
| NY | AETNA | 7654194 | 01 |
| Street Address |
2066 RICHMOND AVE 1ST FL SUITE 1L |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772160 | Anurag Bhatia | Anesthesiology | 2066 Richmond Ave, Suite 202, Staten Island, NY 10314-3916 | 2005-06-30 |
| 1043730674 | Rachel Eve Sainte | Nurse Practitioner | 2066 Richmond Ave, Staten Island, NY 10314-3960 | 2017-06-24 |
| 1669910410 | Jacqueline Annc Kesler | Nurse Practitioner | 2066 Richmond Ave, Staten Island, NY 10314-3960 | 2017-02-01 |
| 1700337888 | Richmond Medical Practice Pllc | Pain Medicine | 2066 Richmond Ave, Suite 202, Staten Island, NY 10314 | 2016-10-24 |
| 1578958088 | Saira Khan | Pediatrics | 2066 Richmond Ave, Staten Island, NY 10314 | 2015-04-01 |
| 1730584574 | Alyssa Jensen | Nurse Practitioner | 2066 Richmond Ave, Staten Island, NY 10314-3916 | 2014-10-22 |
| 1093118457 | Marian L Martin | Nurse Practitioner | 2066 Richmond Ave, Staten Island, NY 10314-3916 | 2014-09-30 |
| 1972929362 | Simon G. Kokkinakis, M.d., Pllc | Obstetrics & Gynecology | 2066 Richmond Ave, Suite 1r, Staten Island, NY 10314-3916 | 2014-03-10 |
| 1063850030 | Olga Yeliosof | Pediatrics | 2066 Richmond Ave, Staten Island, NY 10314-3960 | 2013-06-12 |
| 1972844322 | Richmond Pediatrics, P.C. | Pediatrics | 2066 Richmond Ave, 1st Fl, Staten Island, NY 10314-3916 | 2013-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588752141 | Amin Hakim | Pediatrics | 18 Jeanette Ave, Staten Island, NY 10312-3609 | 2006-10-10 |
| 1972844322 | Richmond Pediatrics, P.C. | Pediatrics | 2066 Richmond Ave, 1st Fl, Staten Island, NY 10314-3916 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306222682 | Paul Jeffrey Edelson | Pediatrics | Jfk Intl Airport-terminal4, Rm.219.016, Cdc Quarantine Station, Jamaica, NY 11430 | 2015-08-10 |
| 1861897761 | Natalie Banniettis | Pediatrics | 921 Avenue O, Brooklyn, NY 11230-6508 | 2014-11-04 |
| 1700289303 | Carine Hedari | Pediatrics | 430 East 29th Street, Division of Pediatric Infectious Diseases, New York, NY 10016 | 2014-09-27 |
| 1811335052 | Brooklyn Pediatric Infectious Diseased PC | Pediatrics | 433 74th Street, Brooklyn, NY 11209 | 2013-06-10 |
| 1568808814 | Quoc Van Nguyen | Pediatrics | 4810 Palmer Rd, Manlius, NY 13104-9348 | 2013-05-14 |
| 1922343573 | John Michael Zahradnik | Pediatrics | 25 Gregory Dr, Goshen, NY 10924-1016 | 2012-12-09 |
| 1386970424 | Joy H. Glaser | Pediatrics | 1 Windcrest Rd, Rye, NY 10580-1625 | 2009-10-25 |
| 1972837292 | Asif Noor | Pediatrics | 120 Mineola Blvd Ste 210, Mineola, NY 11501-4077 | 2009-09-21 |
| 1013178920 | Christy Anne Beneri | Pediatrics | Hsc Suny Stony Brook, Department of Pediatrics Hsc T-11, Stony Brook, NY 11794-8111 | 2008-06-23 |
| 1770656019 | Lorry Rubin | Pediatrics | Lijmc -pediatrics, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.