Active NPI
Andrew Nataloni, MD
- Obstetrics & Gynecology Physician
- Riverhead, NY
National Provider Identifier
1215993183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 161640
- Practice address
- 1333 Roanoke Ave
Riverhead, NY 11901-2029 - Phone
- (631) 727-4950
- NPI assigned
- Apr 21, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1616401 | NE | |
| Obstetrics & Gynecology Physician | 207V00000X | 161640 | NY | Primary |
Addresses
Primary practice location
1333 Roanoke Ave
Riverhead, NY 11901-2029
Mailing address
1333 Roanoke Ave
Riverhead, NY 11901-2029
Phone (631) 727-4950
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616401 | NE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
31 Main Rd
Riverhead, NY 11901
Phone (631) 727-6308
300 Center Dr
Riverhead, NY 11901
Phone (631) 852-1440
271 Route 25A
Wading River, NY 11792
Phone (631) 929-4100
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1215993183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 ROANOKE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012029",
"telephone_number": "631-727-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 ROANOKE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012029",
"telephone_number": "631-727-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATALONI",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "1616401",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "161640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.