Active NPI
Holly Jane Pantalone, FNP
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 352683
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 352683 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1013958610
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Psychologist
- White Plains, NY
- NPI 1528084910
-
- Gynecologic Oncology Physician
- New York, NY
- NPI 1952345647
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.