Adrian Philip Fontanetta, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

140740 Issued in NY

Practice address

137 Willis Ave
Mineola, NY 11301-4077

Phone

(516) 741-8822

Fax

(516) 741-9351

NPI assigned

Sep 1, 2005

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1952395246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "113014077",
            "telephone_number": "516-741-8822",
            "fax_number": "516-741-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANETTA",
        "first_name": "ADRIAN",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "140740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200005301",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00500674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Flower, CPNP-PC
• Emma Marie Fogarty, LMSW
• Patricia A Foglia, LMSW
• Nancy S Foldi, PH.D.
• Luz S Fonacier, M.D.
• Jeisson Ferney Fontecha Hernandez, M.D.
• Venercie Fontilus
• Jason Ford, MD
• Jacqueline Forman
• Elizabeth Jane Foxen, M. D.

• Orthopaedic Surgery Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.