Individual provider Active NPI

Toni Anne Otello, A.N.P.

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1871522706
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304241 Issued in NY
Practice address
900 Intervale Ave
First Floor
Bronx, NY 10459-4240
Phone
(718) 732-7171
Fax
(718) 732-7171
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304241 NY Primary

Addresses

Primary practice location

900 Intervale Ave
First Floor
Bronx, NY 10459-4240

Mailing address

900 Intervale Ave
First Floor
Bronx, NY 10459-4240
Phone (718) 732-7171

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000086 NY Practitioner - Nurse Practitioner 0345244208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors United, IncGroup PAC ID 1153212162, 25 clinicians

Practice addresses (Care Compare)

174 Grand St
White Plains, NY 10601-4803

176 Grand St
White Plains, NY 10601-4803
Phone (914) 328-6080

907 E Tremont Ave
Bronx, NY 10460-4301
Phone (718) 589-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Partners Inc. Past Accepting new patients
Doctors United, Inc PastSince Dec 8, 2003 Accepting new patients
R.G. Medical, PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1871522706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INTERVALE AVE",
            "address_2": "FIRST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594240",
            "telephone_number": "718-732-7171",
            "fax_number": "718-732-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INTERVALE AVE",
            "address_2": "FIRST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594240",
            "telephone_number": "718-732-7171",
            "fax_number": "718-732-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTELLO",
        "first_name": "TONI",
        "middle_name": "ANNE",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.