Active NPI
Angela Tornatore, APRN
- Pediatric Nurse Practitioner
- Greenwich, CT
National Provider Identifier
1164602389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 003494
- Practice address
- 5 Perryridge Rd
Greenwich, CT 06830-4608 - Phone
- (203) 863-3000
- Fax
- (203) 863-4520
- NPI assigned
- Nov 5, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 003494 | CT | Primary |
Addresses
Primary practice location
5 Perryridge Rd
Greenwich, CT 06830-4608
Mailing address
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079845 | Other | CT | RN |
| 003494 | Other | CT | APRN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003494 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Pediatrics PC | Past | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1164602389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3000",
"fax_number": "203-863-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3000",
"fax_number": "203-863-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORNATORE",
"first_name": "ANGELA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "003494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "079845",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "003494",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.