Philip Salvatore Paterno, P.A.-C.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

10036 Issued in NY

Practice address

4143 Hylan Blvd
Staten Island, NY 10308-3308

Phone

(718) 233-1300

Fax

(718) 980-9728

NPI assigned

Feb 13, 2006

Last updated

Mar 21, 2013By the provider in NPPES

Sex

Male

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

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Consultants in Urology PC

  • Specialist
  • Staten Island, NY
  • NPI 1295713931
  Medicare reassignment
• Lakewood Urology Limited Liability Company

  dba University Urology Associates of New Jersey

  • Non-Pharmacy Dispensing Site
  • Toms River, NJ
  • NPI 1295513273
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1558334128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083308",
            "telephone_number": "718-233-1300",
            "fax_number": "718-980-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083308",
            "telephone_number": "718-233-1300",
            "fax_number": "718-980-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNO",
        "first_name": "PHILIP",
        "middle_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal R Patel, PHYSICIAN ASSISTANT
• Vitthal I Patel, PHARM.D.
• Yogendra R Patel, M.D.
• Robyn Carissa Patella, MS, RPA-C
• Maria Paterno
• Antonette Paternostro
• Rahul Shivaji Pathak, M.D.
• Shailesh Suresh Pathare, M.D.
• Pathmark
• Pathmark Stores Inc (Pathmark Pharmacy)

• Surgical Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.