Individual provider Active NPI

Eric Anthony Paolilli, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1326521741
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343287-1 Issued in NY
Practice address
401 Lauer Rd
Poughkeepsie, NY 12603-6355
Phone
(845) 486-4506
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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 F343287-1 NY Primary

Addresses

Primary practice location

401 Lauer Rd
Poughkeepsie, NY 12603-6355

Mailing address

401 Lauer Rd
Poughkeepsie, NY 12603-6355
Phone (845) 486-4506

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
I20200107000236 NY Practitioner - Nurse Practitioner 9638503246 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riddle Medical LLCGroup PAC ID 7113937103, 4 clinicians

Practice addresses (Care Compare)

15 Mount Ebo Rd S
Suite 1
Brewster, NY 10509-4092
Phone (845) 278-6930

965 Dutchess Tpke
Poughkeepsie, NY 12603-1551
Phone (800) 403-1250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
343287NYMDFamily Medicine Physician
F343287-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Medical PC CurrentSince Nov 2, 2019 Accepting new patients
Riddle Medical LLC CurrentSince Jun 25, 2024 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince Oct 2, 2023 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince Oct 2, 2023 Accepting new patients
Middletown Medical PC CurrentSince Nov 2, 2019 Accepting new patients

Locations

15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930

111 Maltese Dr
Middletown, NY 10940

100 Franklin St
Poughkeepsie, NY 12601
Phone (845) 454-4000

301 Manchester Rd
Poughkeepsie, NY 12603
Phone (845) 471-7708

965 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 235-8264

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1326521741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LAUER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036355",
            "telephone_number": "845-486-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LAUER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036355",
            "telephone_number": "845-486-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLILLI",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343287-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.