TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC (NPI# 1770822736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770822736 |
| Entity Type | Organization |
| Organization Name | TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC |
| Other Organization Name | ADVANTAGE MEDICAL CARE |
| Practice Address |
2955 Veterans Rd W Staten Island NY 10309-2515 |
| Mailing Address |
Po Box 70176 Staten Island NY 10307-0176 |
| Practice Telephone | 7189844094 |
| Mailing Telephone | 7189844094 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | DR. THOMAS BOTTIGLIERI (PRESIDENT) |
| Authorized Official Telephone | 7189844094 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
237430 | NY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 237430 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advantage Medical Care | Doing Business As Name - Organization |
| Street Address |
2955 VETERANS RD W |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250079 | William G Corbett | Dentist | 2955 Veterans Rd W, Suite 2g, Staten Island, NY 10309-2515 | 2007-05-02 |
| 1780091744 | Krista Lynne Supino | Physical Therapist | 2955 Veterans Rd W, Staten Island, NY 10309-2515 | 2014-07-22 |
| 1447571765 | Jene Marie Tesoriero | Pediatrics | 2955 Veterans Rd W, Staten Island, NY 10309-2515 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1083137970 | Dian Patricia Grandison | Family Medicine | 25 Beekman St, Staten Island, NY 10302-2006 | 2017-07-21 |
| 1184092314 | Girgis Md Pllc | Family Medicine | 1332a Rockland Ave, Staten Island, NY 10314-4944 | 2015-09-03 |
| 1790163996 | Tamara Anna Marie Saukin Md PC | Family Medicine | 1920 Richmond Rd, Staten Island, NY 10306-2551 | 2015-05-08 |
| 1629474283 | Rani Medical, PC | Family Medicine | 3350 Victory Blvd, Unit #a, Staten Island, NY 10314-6700 | 2014-11-10 |
| 1861735656 | Liudmila A Skudnov | Family Medicine | 1000 Targee St Apt 4t, Staten Island, NY 10304-4472 | 2013-04-01 |
| 1952664351 | Biana Volfinzon | Family Medicine | 187 Arbutus Ave, Staten Island, NY 10312-4500 | 2012-06-20 |
| 1548534324 | Ming Yeung Chung | Family Medicine | 56 Jenna Ln, Staten Island, NY 10304-1322 | 2012-02-27 |
| 1619110707 | Joaquin C Gutierrez Jr. | Family Medicine | 124 Getz Ave, Staten Island, NY 10312-2114 | 2009-04-20 |
| 1588823025 | Zoya Koroleva | Family Medicine | 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 | 2008-06-09 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.