Paula Nicole Povzlov

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

358869 Issued in NY

Practice address

645 Bay St
Staten Island, NY 10304-3843

Phone

(718) 816-1010

NPI assigned

Feb 3, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1508717935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SPRAGUE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043843",
            "telephone_number": "718-816-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 Brighton 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112358532",
            "country_code": "US",
            "telephone_number": "718-332-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POVZLOV",
        "first_name": "PAULA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagner Antonio Potter, MD
• Drew Pottheiser, OTR/L
• Mildred Pottheiser, M.A.C.C.C.-SLP
• David Pouls
• George Anastasios Pourakis, MD, MPH
• Carolyn Rosemary Powell-Rivers, O.D.
• Akira Powell, LMSW
• Amy Joel Powell, MPT
• Deborah Powell, PT
• Fazel Powell, RN

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.