PAULA PORTELLI (NPI# 1962630657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962630657 |
| Entity Type | Individual |
| Full Name | PAULA PORTELLI |
| Credential | ACNP |
| Practice Address |
1910 South Rd Poughkeepsie NY 12601-6027 |
| Practice Telephone | 8454540120 |
| Practice Fax Number | 8456869016 |
| Mailing Telephone | 8454540120 |
| Mailing Fax Number | 8456869016 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F430467 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F430467 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03196792 | 05 |
| Street Address |
1910 SOUTH RD |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617185 | Bridget R Beebe | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2005-08-24 |
| 1942812458 | Anthony Michael Cicalese | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2020-08-18 |
| 1871103382 | Jessica Deboer Ely | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2020-08-10 |
| 1316416647 | Daniel Emery Schafer | Physical Medicine & Rehabilitation | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2018-11-15 |
| 1548739956 | Ivyrehab Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2018-11-14 |
| 1225505589 | Oadc Dme LLC | Durable Medical Equipment & Medical Supplies | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2018-10-25 |
| 1134659501 | Lindsey Gilhooly | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2017-06-18 |
| 1558800540 | Rhonda Darmstadt | Nurse Practitioner | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2017-02-23 |
| 1801349295 | Regina Santilli | Physical Therapist | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2016-08-02 |
| 1871962555 | Tiffany M Stapleton | Specialist/Technologist | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174989537 | Mary Sweeney | Nurse Practitioner | 30 Columbia St, Poughkeepsie, NY 12601-3906 | 2016-01-14 |
| 1336489921 | Lisa L Hartman | Nurse Practitioner | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2013-02-19 |
| 1174857403 | Paul Maggio | Nurse Practitioner | 45 Reade Pl, Dyson Cancer Center & Vassar Hospital, Poughkeepsie, NY 12601-3947 | 2009-09-18 |
| 1215070255 | Barbara Pearl Kabbash | Nurse Practitioner | 21 Fox St, Suite 103, Poughkeepsie, NY 12601-4702 | 2007-02-15 |
| 1134224470 | Sandra Elise Rexhouse | Nurse Practitioner | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669975 | Fereshta Azizy | Nurse Practitioner | 1806 Parsons Blvd, Whitestone, NY 11357-3042 | 2020-11-03 |
| 1598365579 | Emily Rose Fitzpatrick | Nurse Practitioner | 530 1st Ave # Hcc12, New York, NY 10016-6402 | 2020-10-28 |
| 1467069583 | Ma Teresa Justine V Balboa | Nurse Practitioner | 19 Low Ln, Levittown, NY 11756-4511 | 2020-09-24 |
| 1588270151 | Cynthia Li | Nurse Practitioner | 5312 80th St, Elmhurst, NY 11373-4732 | 2020-09-19 |
| 1356956312 | Maria Nagel | Nurse Practitioner | 350 E 30th St Apt 1b, New York, NY 10016-8307 | 2020-09-15 |
| 1699389817 | John Paul Talmadge Cagigas | Nurse Practitioner | 402 N Indiana Ave, Lindenhurst, NY 11757-3423 | 2020-09-04 |
| 1891308615 | Peter Marusca | Nurse Practitioner | 4610 61st St Apt 14a, Woodside, NY 11377-5731 | 2020-08-31 |
| 1760095269 | Elizabeth Meder Demas | Nurse Practitioner | 141 Ridge St Apt A, New York, NY 10002-1804 | 2020-08-25 |
| 1093328593 | Melissa Moulton | Nurse Practitioner | 204 E 77th St Apt 2d, New York, NY 10075-2107 | 2020-08-25 |
| 1942819636 | Ruby Judith Maloco Garzon | Nurse Practitioner | 222 Peters Ave, East Meadow, NY 11554-1525 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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| 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.