Active NPI
Toni Anne Otello, A.N.P.
- Adult Health Nurse Practitioner
- Bronx, NY
National Provider Identifier
1871522706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health Partners Inc. | Past | Accepting new patients | |
| Doctors United, Inc | Past | 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.
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
-
- Health Service Clinic/Center
- New York, NY
- NPI 1114956026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.