Lucy Pontrelli, M.D.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

204199 Issued in NY

Practice address

2066 Richmond Ave
1St FL Suite 1L
Staten Island, NY 10314-3960

Phone

(718) 982-9001

Fax

(718) 982-9008

NPI assigned

Jun 14, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: lucy.pontrelli.p1@direct.ezramedical.nextgenshare.com
• Direct secure messaging: lucy.pontrelli@oda.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oda Primary Health Care Network, Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1720177066
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1770526113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 RICHMOND AVE",
            "address_2": "1ST FL SUITE 1L",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143960",
            "telephone_number": "718-982-9001",
            "fax_number": "718-982-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 RICHMOND AVE",
            "address_2": "1ST FL SUITE 1L",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143960",
            "telephone_number": "718-982-9001",
            "fax_number": "718-982-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTRELLI",
        "first_name": "LUCY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "204199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02082039",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC.BS",
            "identifier": "0B2121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7654194",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vipul C Ponappa
• Danny Ponce
• Ponterio & Pessolano, MD, PC
• Jane M Ponterio, MD
• Mariana Ponti-Ortiz, MSED
• Darlene Popadin, PT
• Annette Pope-Lydon, P.A.
• Tatyana Popel, MS
• Ariella L Popick
• Kenneth Popler, PH.D.

• Pediatric Infectious Diseases Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Infectious Diseases Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.