Organization Active NPI

Priscilla Rose Santana Nurse Practitioner Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1578118261
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC
Practice address
457 Hillman Ave
Staten Island, NY 10314-3318
Phone
(347) 322-8015
NPI assigned
Aug 8, 2019
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Dr. Priscilla Rose SantanaNPI 1437652047
Title
Nurse Practitioner
Phone
(347) 322-8015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

457 Hillman Ave
Staten Island, NY 10314-3318

Mailing address

72 Van Name Ave
Staten Island, NY 10303-2514

Other identifiers 1

IdentifierTypeStateIssuer
05362712MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1578118261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 VAN NAME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 HILLMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143318",
            "telephone_number": "347-322-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-322-8015",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05362712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.