Organization Active NPI

Tottenville Primary Osteopathic Medicine PLLC

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1770822736
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237430 Issued in NY
Legal business name
TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC
Practice address
2955 Veterans Rd W
Staten Island, NY 10309-2515
Phone
(718) 984-4094
NPI assigned
Feb 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Thomas Bottiglieri, D.O.
Title
President
Phone
(718) 984-4094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 237430 NY Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 237430 NY

Addresses

Primary practice location

2955 Veterans Rd W
Staten Island, NY 10309-2515

Mailing address

PO Box 70176
Staten Island, NY 10307-0176
Phone (718) 984-4094

Other names 1

  • Advantage Medical Care Doing business as

National Provider Directory

National Provider Directory

Locations

500 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-0010

2955 Veterans Rd W
Staten Island, NY 10309
Phone (347) 896-5955

2955 Veterans Rd W
Ste 2A
Staten Island, NY 10309
Phone (718) 984-4094

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1770822736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70176",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103070176",
            "telephone_number": "718-984-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092515",
            "telephone_number": "718-984-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "BOTTIGLIERI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-984-4094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237430",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "237430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.