Escarleth Adony Ponce Fuentes

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

433691 Issued in NY

Practice address

1963 Union Blvd
Bay Shore, NY 11706-7956

Phone

(631) 591-7470

NPI assigned

Jul 11, 2026

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1811816135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067956",
            "telephone_number": "631-591-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067956",
            "telephone_number": "631-591-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE FUENTES",
        "first_name": "ESCARLETH",
        "middle_name": "ADONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "433691",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "801118-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Polidoro-Yodice, LMHC
• Michael Polidoro, PA
• Vincent Polo, PA
• Shedely Polynice
• Max Ricardo Pommier Jr., D.O.
• Eleanor Ponce, L.C.S.W-R
• Justin Kafut Poon, M.D
• Jennifer Port
• Nicholas Posillico, PT
• Marissa Cristina Povol, O.D.

• Acute Care Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.