Organization Active NPI

Pauline Izzo, Nurse Practitioner in Family Health PC

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1982203402
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PAULINE IZZO, NURSE PRACTITIONER IN FAMILY HEALTH PC
Practice address
544 Darlington Ave
Staten Island, NY 10309-2233
Phone
(718) 737-8717
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Pauline Izzo, NPNPI 1659878213
Title
NP/Owner
Phone
(718) 737-8717

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

544 Darlington Ave
Staten Island, NY 10309-2233

Mailing address

544 Darlington Ave
Staten Island, NY 10309-2233
Phone (718) 737-8717

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1982203402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 DARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092233",
            "telephone_number": "718-737-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 DARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092233",
            "telephone_number": "718-737-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE IZZO, NURSE PRACTITIONER IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "IZZO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "718-737-8717",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 26, 2020; 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.