Active NPI
Patricia A Petronella, MS SPEC. ED
- Specialist
- Ardsley, NY
National Provider Identifier
1033465174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1053 Sawmill River Rd.
Hta of New York
Ardsley, NY 10502 - Phone
- (914) 674-0733
- Fax
- (914) 674-0285
- NPI assigned
- Jul 26, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
1053 Sawmill River Rd.
Hta of New York
Ardsley, NY 10502
Mailing address
1 David Lane
#6M
Yonkers, NY 10701
Phone (914) 966-0610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1033465174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DAVID LANE",
"address_2": "#6M",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-966-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 SAWMILL RIVER RD.",
"address_2": "HTA OF NEW YORK",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "10502",
"telephone_number": "914-674-0733",
"fax_number": "914-674-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRONELLA",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS SPEC. ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.