Joanna C Pessolano, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

168824 Issued in NY

Practice address

1583 Richmond Ave
Obstetrics and Gynecology
Staten Island, NY 10314-1530

Phone

(718) 983-0204

Fax

(718) 494-7420

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Richmond University Medical Center

  • Multi-Specialty Clinic/Center
  • Staten Island, NY
  • NPI 1811054042
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1992890271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WEST 33 RD STREET",
            "address_2": "PBS 12 TH FLOOR",
            "city": "NEWYORK",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "718-356-4474",
            "fax_number": "718-356-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 RICHMOND AVE",
            "address_2": "OBSTETRICS AND GYNECOLOGY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141530",
            "telephone_number": "718-983-0204",
            "fax_number": "718-494-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSOLANO",
        "first_name": "JOANNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "168824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Pershina
• Person Centered Care Services Inc
• Anthony Perugini
• Pesce Inc.
• Sari Pesso-Saada, MA, CCC-SLP
• Peter J Miceli MD PC
• Dhannya Peter, RN
• Raijan Peters
• Sheikh Peters, L.P.N.
• Ariel D Petersen, OTR/L

• Gynecology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.