Individual provider Active NPI

Rizalina N Trompeta-Wong, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1124217591
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333679 Issued in NY
Practice address
235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone
(718) 924-2254
Fax
(718) 442-0189
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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 F333679 NY Primary

Addresses

Primary practice location

235 Port Richmond Ave
Staten Island, NY 10302-1701

Mailing address

235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone (718) 924-2254

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
I20090415000429 NY Practitioner - Nurse Practitioner 7214084995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

4106 Hylan Blvd
Staten Island, NY 10308-3335
Phone (718) 226-7855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333679NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Jan 2, 2018 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 25, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 25, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jan 2, 2018 Accepting new patients
Community Health Center of Richmond, Inc PastSince Jan 1, 2009 Accepting new patients
Community Health Center of Richmond Inc Past Accepting new patients
Physicians of University Hospital PC Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

1110 South Ave
Ste 71
Staten Island, NY 10314

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

4106 Hylan Blvd
Staten Island, NY 10308
Phone (718) 226-7855

101 Tyrellan Ave
Staten Island, NY 10309
Phone (718) 281-3645

140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

1776 Richmond Rd
Staten Island, NY 10306
Phone (718) 370-8900

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rizalina@upg.ssdirect.aprima.com
  • Direct secure messaging: rtrompetawong61287@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJJAA

Organizations & group practices 7

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 1

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1124217591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMPETA-WONG",
        "first_name": "RIZALINA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.