Active NPI
Nataliya Pontone
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1508147208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F404553-01
- Practice address
- 200 Corbin PL Apt L1
Brooklyn, NY 11235-4932 - Phone
- (718) 238-2285
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 643262-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404553-01 | NY | Primary |
Addresses
Primary practice location
200 Corbin PL Apt L1
Brooklyn, NY 11235-4932
Mailing address
2170 Brigham St Apt 4C
Brooklyn, NY 11229-5640
Phone (718) 269-8152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02386450 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1329 E 17TH St
Brooklyn, NY 11230-6052
Phone (718) 382-5060
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.08 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 83.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643262-1 | NY | MD | Registered Nurse |
| F404553-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revived Soul Medical PC | Current | Accepting new patients | |
| Helpful Hand Agency Inc | Past | Accepting new patients |
Locations
307 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 743-5555
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1821389941
-
- Home Health Agency
- Brooklyn, NY
- NPI 1073750162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1508147208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 BRIGHAM ST APT 4C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295640",
"telephone_number": "718-269-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CORBIN PL APT L1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354932",
"telephone_number": "718-238-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTONE",
"first_name": "NATALIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "643262-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F404553-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02386450",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.