Eileen Mary Kathryn Fontanetta, M.D. F.A.A.P.,M.P.H.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

164801 Issued in NY

Practice address

188 Brown St
Sea Cliff, NY 11579-1602

Phone

(516) 674-0959

Fax

(718) 380-3214

NPI assigned

Sep 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1538153648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BROWN ST",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791602",
            "telephone_number": "516-674-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 BROWN ST",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791602",
            "telephone_number": "516-674-0959",
            "fax_number": "718-380-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANETTA",
        "first_name": "EILEEN",
        "middle_name": "MARY KATHRYN",
        "name_prefix": "Dr.",
        "credential": "M.D. F.A.A.P.,M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "164801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Ehrlich-Foley
• Kathleen Emmett, RDN
• Lacey Fater, PA-C
• Samantha M Ferazzoli
• Jennie Fiddler, CAT
• Jo-Ellen Foti, LCSW
• Amanda Gabel, LMSW
• Charles A Gambino, DO
• Kristine Ann Gerold, RN
• Robert Gino, OTRL

• Pediatrics Physician in Sea Cliff, NY
• Providers in Sea Cliff, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.