Active NPI
Rosa L Spatoliatore, D.O.
- Pediatrics Physician
- Ardsley, NY
National Provider Identifier
1679663900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 203649
- Practice address
- 731 Saw Mill River Rd
Ardsley, NY 10502-1814 - Phone
- (914) 693-5470
- Fax
- (914) 693-5409
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 203649 | NY | Primary |
Addresses
Primary practice location
731 Saw Mill River Rd
Ardsley, NY 10502-1814
Mailing address
731 Saw Mill River Rd
Ardsley, NY 10502-1814
Phone (914) 693-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01693461 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203649 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Pediatrics | Pediatrics | Past | Accepting new patients |
| St. John's Riverside Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
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- Yonkers, NY
- NPI 1134204969
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679663900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021814",
"telephone_number": "914-693-5470",
"fax_number": "914-693-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021814",
"telephone_number": "914-693-5470",
"fax_number": "914-693-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATOLIATORE",
"first_name": "ROSA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "203649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01693461",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.