Active NPI
Victorio R Tolentino Jr., PMHNP-BC, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1194005520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401687
- Practice address
- 726 Broadway
New York University Student Health Center
New York, NY 10003 - Phone
- (212) 998-4780
- NPI assigned
- Aug 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337007 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401687 | NY | Primary |
Addresses
Primary practice location
726 Broadway
New York University Student Health Center
New York, NY 10003
Mailing address
726 Broadway
New York University Student Health Center
New York, NY 10003
Phone (212) 998-4780
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337007 | NY | MD | Licensed Practical Nurse |
| 401687 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1194005520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 BROADWAY",
"address_2": "NEW YORK UNIVERSITY STUDENT HEALTH CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-998-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROADWAY",
"address_2": "NEW YORK UNIVERSITY STUDENT HEALTH CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-998-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "VICTORIO",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PMHNP-BC, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-16",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337007",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401687",
"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 Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.