Individual provider Active NPI

Gina Rose Patalano

  • Social Worker
  • New York, NY
National Provider Identifier
1497490221
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115285 Issued in NY
Practice address
111 5TH Ave
New York, NY 10003-1005
Phone
(929) 581-8327
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 115285 NY Primary

Addresses

Primary practice location

111 5TH Ave
New York, NY 10003-1005

Mailing address

111 5TH Ave
New York, NY 10003-1005
Phone (929) 581-8327

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115285NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KHP Medical PC CurrentSince May 8, 2022 Accepting new patients

Locations

111 5th Ave
New York, NY 10003
Phone (607) 289-3684

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1497490221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031005",
            "telephone_number": "929-581-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031005",
            "telephone_number": "929-581-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALANO",
        "first_name": "GINA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.