Annalisa Tolentino

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006463 Issued in NY

Legal business name

ANNALISA TOLENTINO

Practice address

5645 Main St
RM W238
Flushing, NY 11355-5045

Phone

(718) 670-1572

Fax

(718) 670-1864

NPI assigned

Jun 10, 2006

Organization subpart

Yes

Parent organization

NEW YORK HOSPITAL MEDICAL CENTER OF QUEENSAs reported in NPPES

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

Authorized official

Name

Annalisa Tolentino, PA

Title

PA

Phone

(718) 670-1572

Specialties & licenses 1

Addresses

Part of

Nyhmc Hollis Women'S Ctr

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1740221696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "RM W238",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1572",
            "fax_number": "718-670-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "RM W238",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1572",
            "fax_number": "718-670-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNALISA TOLENTINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "718-670-1572",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.