Active NPI
Tela-NP in Adult Health and Psychiatric Services PC
- Psychiatric/Mental Health Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1831733120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TELA-NP IN ADULT HEALTH AND PSYCHIATRIC SERVICES PC
- Practice address
- 198 Willowbrook Rd
Staten Island, NY 10302-2447 - Phone
- (718) 687-2987
- NPI assigned
- Oct 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Madalone, NP
- Title
- Owner
- Phone
- (718) 687-2987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
198 Willowbrook Rd
Staten Island, NY 10302-2447
Mailing address
198 Willowbrook Rd
Staten Island, NY 10302-2447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.telanponline.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Staten Island, NY
- NPI 1720213606
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1831733120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 WILLOWBROOK RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 WILLOWBROOK RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022447",
"telephone_number": "718-687-2987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELA-NP IN ADULT HEALTH AND PSYCHIATRIC SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "MADALONE",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-687-2987",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.telanponline.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "198 Willowbrook Rd",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103022447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.