Individual provider Active NPI

Elvira P Tolentino, MD

  • General Practice Physician
  • Naples, FL
National Provider Identifier
1497026496
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MA04671100 Issued in NJ
Practice address
5274 Golden Gate Parkway
Suite 1
Naples, FL 34116-2154
Phone
(239) 455-9919
Fax
(239) 455-9909
NPI assigned
Jan 23, 2012
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA04671100 NJ
Neonatal-Perinatal Medicine Physician 2080N0001X 25MA04671100 NJ
General Practice Physician 208D00000X 25MA04671100 NJ Primary

Addresses

Primary practice location

5274 Golden Gate Parkway
Suite 1
Naples, FL 34116-2154

Mailing address

5274 Golden Gate Parkway
Suite 1
Naples, FL 34116-3510
Phone (239) 455-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000307 FL Practitioner - General Practice 0345498135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Collier Medical, LLCGroup PAC ID 5193963460, 2 clinicians

Practice addresses (Care Compare)

5274 Golden Gate Pkwy
Suite 1
Naples, FL 34116-7641
Phone (239) 455-9919

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Medical, LLC CurrentSince Apr 1, 2013 Accepting new patients
Comprehensive Pulmonary Care Inc Past Accepting new patients
Vera M Robert MD DO PA PastSince Apr 1, 2013 Accepting new patients

Locations

5274 Golden Gate Pkwy
Ste 1
Naples, FL 34116
Phone (239) 455-9917

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.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1497026496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 GOLDEN GATE PARKWAY",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341163510",
            "telephone_number": "239-455-9919",
            "fax_number": "973-904-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 GOLDEN GATE PARKWAY",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341162154",
            "telephone_number": "239-455-9919",
            "fax_number": "239-455-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "ELVIRA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04671100",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA04671100",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA04671100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.