Adriana Natividade, SA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TPPA1275 Issued in FL

Practice address

185 Willis Ave Ste 202
Mineola, NY 11501-2671

Phone

(917) 297-2862

NPI assigned

Apr 3, 2020

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1801425590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 GARFIELD AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012507",
            "telephone_number": "305-600-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WILLIS AVE STE 202",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012671",
            "telephone_number": "917-297-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDADE",
        "first_name": "ADRIANA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NY",
            "license": "19-101",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "TPPA1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nassau Sports Physical Therapy & Rehabilitation PC (Nassau Sports Physical Therapy)
• Nassau Surgical Associates, PC
• Amira Nasser, PA
• Gianna Nasta
• Hari Nath, MD
• Denise Natoli
• Jude Nawlo, MD
• Amrita Sujir Nayak, MD
• Kamal Nayyar, M.D.
• Afrin Naz, MD

• Medical Physician Assistant in Mineola, NY
• Providers in Mineola, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.