Active NPI
Antonia Mortelliti, OD
- Optometrist
- New York, NY
National Provider Identifier
1376678375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0045231
- Practice address
- 52 East 72 St
New York, NY 10021 - Phone
- (212) 439-9775
- Fax
- (212) 439-0796
- NPI assigned
- Feb 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0045231 | NY | Primary |
| Optometrist | 152W00000X | 002077 | CT |
Addresses
Primary practice location
52 East 72 St
New York, NY 10021
Mailing address
52 E 72 St
New York, NY 10021
Phone (212) 439-9775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561621 | Other | NY | AETNA |
Other names 1
- Dr. Tonia Mortelliti
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV0045231 | NY | MD | Optometrist |
| 002077 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutherford Vision Care, LLC | Optometrist | Past | Accepting new patients |
| Hitchcock Munson Opticians | Past | Accepting new patients | |
| DSN Eyecare, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Darien, CT
- NPI 1235550047
-
- Optician
- Stamford, CT
- NPI 1710154711
-
- Optometrist
- Wilton, CT
- NPI 1346638533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376678375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 E 72 ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-439-9775",
"fax_number": "212-439-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 EAST 72 ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-439-9775",
"fax_number": "212-439-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTELLITI",
"first_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0045231",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002077",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "561621",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONIA",
"last_name": "MORTELLITI",
"prefix": "DR.",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 8, 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.