Individual provider Active NPI

Paul Marion Nataloni, M.D.

  • Anesthesiology Physician
  • Rocky Point, NY
National Provider Identifier
1457422867
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
212889-1 Issued in NY
Practice address
333 Route 25a
Suite 225
Rocky Point, NY 11778-8556
Phone
(631) 744-6371
Fax
(631) 744-6205
NPI assigned
Nov 10, 2006
Last updated
Dec 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 212889-1 NY Primary

Addresses

Primary practice location

333 Route 25a
Suite 225
Rocky Point, NY 11778-8556

Mailing address

333 Route 25a
Suite 225
Rocky Point, NY 11778-8556
Phone (631) 744-6371

Other identifiers 1

IdentifierTypeStateIssuer
01927706MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111202000531 NY Practitioner - Anesthesiology 3779758727 Reassigns benefits to 1 organization
I20201109000804 VI Practitioner - Anesthesiology 3779758727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derrick D. Jones P CGroup PAC ID 1254467202, 15 clinicians

Practice addresses (Care Compare)

40 Norre Gade
Ste. 17
St Thomas, VI 00802
Phone (340) 714-2693

52 A 10TH St
St Thomas, VI 00802
Phone (340) 776-1010

Nisky Ctr
Suite 19B
St Thomas, VI 00802
Phone (340) 774-3003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212889-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derrick D. Jones P C Anesthesiology CurrentSince Aug 7, 2020 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Apr 1, 2013 Accepting new patients
Peconic Anesthesiologist, P.C. Anesthesiology Past Accepting new patients

Locations

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1 Heroes Way
#239
Riverhead, NY 11901

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

9003 Havensight Shopp Ctr
Ste 307
St Thomas, VI 00802
Phone (877) 464-9046

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1457422867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ROUTE 25A",
            "address_2": "SUITE 225",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788556",
            "telephone_number": "631-744-6371",
            "fax_number": "631-744-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROUTE 25A",
            "address_2": "SUITE 225",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788556",
            "telephone_number": "631-744-6371",
            "fax_number": "631-744-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATALONI",
        "first_name": "PAUL",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "212889-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01927706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

Verify at the official NPI Registry.