Pauline Izzo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342983 Issued in NY

Practice address

544 Darlington Ave
Staten Island, NY 10309

Phone

(718) 737-8717

NPI assigned

Apr 10, 2018

Last updated

May 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Wellness Center PCGroup PAC ID 6709385065, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bene Health & Wellness LLC

  • Family Nurse Practitioner
  • Manalapan, NJ
  • NPI 1962139519
  Medicare reassignment NPD Authorized official
• Peak Wellness Center PC

  • Family Nurse Practitioner
  • Somerset, NJ
  • NPI 1982498515
  Medicare reassignment Care Compare group NPD
• Pauline Izzo, Nurse Practitioner in Family Health PC

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1982203402
  NPD Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1659878213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 DARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092233",
            "telephone_number": "718-737-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 DARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10309",
            "telephone_number": "718-737-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZO",
        "first_name": "PAULINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Osa Izevbuwa, MSW
• Shadi Izmikna, PA-C
• Raizy Izrailev, MS ED, LBA
• Shalom Izrailev
• Krystie Marie Izzo, LMHC
• J. Lamendola Physical Therapy, P.C. (TLC Physical Therapy)
• J.J.S. Transportation Company, Inc
• J.P.L. Home Care LLC
• J.R. Dugo D.C.P.C.
• J&J General Solutions Inc.

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.