Organization Active NPI

Ponterio & Pessolano, MD, PC

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1205022308
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
150736 Issued in NY
Legal business name
PONTERIO & PESSOLANO, MD, PC
Practice address
1583 Richmond Ave
Staten Island, NY 10314-1530
Phone
(718) 983-0204
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jane M Ponterio, M.D.
Title
President
Phone
(718) 983-0204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 150736 NY Primary

Addresses

Primary practice location

1583 Richmond Ave
Staten Island, NY 10314-1530

Mailing address

1583 Richmond Ave
Staten Island, NY 10314-1530
Phone (718) 983-0204

National Provider Directory

National Provider Directory

Locations

1583 Richmond Ave
Staten Island, NY 10314
Phone (718) 983-0204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1205022308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141530",
            "telephone_number": "718-983-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141530",
            "telephone_number": "718-983-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTERIO & PESSOLANO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "PONTERIO",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-983-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "150736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.