Donna Acquafredda, M.D.
Individual provider Active NPI Rheumatology Physician · Staten Island, NY
NPI 1720072481 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1720072481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 181945 (NY)
- Practice address
- 1534 Victory Blvd
Staten Island, NY 10314-3548 - Phone
- (718) 447-0055
- NPI assigned
- Sep 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physicians of University Hospital PC
Practice addresses (Care Compare)
1534 Victory Blvd
Staten Island, NY 10314-3548
Phone (718) 447-0055
Hospital & facility affiliations
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081229000267 | NY | Practitioner - Rheumatology |
5395807325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Current |
Accepting new patients | |
| Physicians of University Hospital, PC | Current |
Accepting new patients | |
| Mermaid Management Inc | Past |
Accepting new patients | |
| Jal 28 LLC | Past | Accepting new patients | |
| Mermaid Operating Co, LLC | Past |
Accepting new patients |
Locations
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
1534 Victory Blvd
Staten Island, NY 10314
Phone (718) 447-0055
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
1200 South Ave
Staten Island, NY 10314
Phone (718) 370-1400
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- dacquafredda@rheum.ssdirect.aprima.com
- dacquafredda68800@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 181945 | NY | Yes |
Addresses
Primary practice location
1534 Victory Blvd
Staten Island, NY 10314-3548
Mailing address
1534 Victory Blvd
Staten Island, NY 10314-3548
Phone (718) 447-0055
Other providers in Staten Island, NY
- Richard Keith Acevedo
- Monica Alexandra Aceves
- Steven R Acker
- Kevin Acosta
- Nicole Acosta
- Saverio Acquafredda
- Victoria Grace Acquesta
- Act Ambulette Inc
- Act Care Group, LLC
- Rebecca P Acuna
All providers in Staten Island, NY · Rheumatology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.