Individual provider Active NPI

Nicholas Luke Pantaleo, MD

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1619299526
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254722 Issued in NY
Practice address
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone
(718) 206-6914
NPI assigned
Feb 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 254722 NY Primary

Addresses

Primary practice location

13303 Jamaica Ave
Jamaica, NY 11418-2618

Mailing address

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000768 NY Practitioner - Family Practice 5698949899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8640

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Group PC CurrentSince Sep 1, 2017 Accepting new patients
Jamaica Hospital CurrentSince Oct 20, 2011 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Jamaica Hospital CurrentSince Oct 20, 2011 Accepting new patients
TJH Medical Services, P.C. Family Medicine CurrentSince Oct 20, 2011 Accepting new patients

Locations

3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

2700 Westchester Ave
Fl 2
Purchase, NY 10577

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

1084 N Broadway
Yonkers, NY 10701
Phone (914) 848-8000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: npantaleo@hiemail.healtheconnections.org
  • Direct secure messaging: nicholas.pantaleo.1@21260.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1619299526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182618",
            "telephone_number": "718-206-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182618",
            "telephone_number": "718-206-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALEO",
        "first_name": "NICHOLAS",
        "middle_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.