Individual provider Active NPI

Holly Jane Pantalone, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1003684994
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352683 Issued in NY
Practice address
525 E 68TH St Ste J-130
New York, NY 10065-4870
Phone
(212) 746-3000
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352683 NY Primary

Addresses

Primary practice location

525 E 68TH St Ste J-130
New York, NY 10065-4870

Mailing address

1320 York Ave Apt 15D
New York, NY 10021-4857
Phone (330) 703-2108

Other practice location 1

28-25 Jackson Avenue
Long Island City, NY 11101
Phone (646) 962-9921

Other practice location 2

211 E 80th St Fl 2
New York, NY 10075-0531
Phone (646) 962-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218000912 NY Practitioner - Nurse Practitioner 5395272116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

428 E 72ND St
New York, NY 10021-4635
Phone (212) 962-4900

525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-3268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
352683NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Oct 16, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 16, 2024 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

2825 Jackson Ave
Long Island City, NY 11101
Phone (646) 962-3020

525 E 68th St
#J130
New York, NY 10065
Phone (212) 746-3000

525 E 68th St
Ste J130
New York, NY 10065
Phone (212) 746-0315

211 E 80th St
Fl 2
New York, NY 10075
Phone (646) 962-8690

428 E 72nd St
Ofc 200
New York, NY 10021
Phone (212) 746-3325

425 E 61st St
Fl 11
New York, NY 10065
Phone (212) 821-0858

Interoperability endpoints

  • Direct secure messaging: hop9010@direct.nyp.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1003684994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 YORK AVE APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214857",
            "telephone_number": "330-703-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST STE J-130",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28-25 Jackson Avenue",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "11101",
            "country_code": "US",
            "telephone_number": "646-962-9921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 E 80th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100750531",
            "country_code": "US",
            "telephone_number": "646-962-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTALONE",
        "first_name": "HOLLY",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.