Active NPI
Priscilla Rose Santana Nurse Practitioner Adult Health PLLC
- Adult Health Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1578118261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Priscilla Rose Santana
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05362712 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Adult Health Nurse Practitioner
- Staten Island, NY
- NPI 1437652047
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.