Justine Marie Avissato, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348745 Issued in NY

Practice address

73 Stone LN
Staten Island, NY 10314-5944

Phone

(347) 216-0216

NPI assigned

Oct 4, 2017

Last updated

Oct 31, 2022By 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

State licenses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1922518927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PEBBLE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053776",
            "telephone_number": "347-962-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 STONE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145944",
            "telephone_number": "347-216-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVISSATO",
        "first_name": "JUSTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348745",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "571480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Ann Aversa
• Attilio Antonio Avidano, M.D.
• Lorna Avila, MD
• Victor P Avis, DDS
• Teresa Avissato-Tramell, RN
• Michele Avitabile, MS, RD, CDN
• Noel Avitabile, LCSW
• Jeanne Kathleen Avitto, CCC/SLP
• Lital Avni Singer
• Taeer Avnon

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.