NPIMap

Organization Active NPI

Fontalvo, RN PLLC

  • Registered Nurse
  • Melville, NY
National Provider Identifier
1689535544
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
FONTALVO, RN PLLC
Practice address
55 Threepence Dr
Melville, NY 11747-4024
Phone
(516) 288-6565
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Renata FontalvoNPI 1114267812
Title
Owner
Phone
(516) 288-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

55 Threepence Dr
Melville, NY 11747-4024

Mailing address

55 Threepence Dr
Melville, NY 11747-4024
Phone (516) 288-6565

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.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1689535544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 THREEPENCE DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474024",
            "telephone_number": "516-288-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 THREEPENCE DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474024",
            "telephone_number": "516-288-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTALVO, RN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "FONTALVO",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-288-6565"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.