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ANTONIA KRISTINE BERTELLE MD
NPI 1053940163
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since April 02, 2020
355 BARD AVENUE, DEPARTMENT OF MEDICINE , VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonia Kristine Bertelle Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIA KRISTINE BERTELLE MD (NPI 1053940163) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1053940163
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANTONIA KRISTINE BERTELLECredential: MD
Location Address355 BARD AVENUE, DEPARTMENT OF MEDICINE , VILLA BLDG 1ST FLOORStaten Island, NY 10310
Mailing Address355 Bard Avenue, Department Of Medicine , Villa Bldg 1st FloorStaten Island, NY 10310
Phone(718) 818-2419
Sole ProprietorNo
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1053940163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 BARD AVENUE, Staten Island, NY 10310
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN CAWTHORN DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
SU LAT AUNG MD
Hospitalist
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
MORGAN KLINGFUS MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ANISSA ABDELMALEK MD
Pathology (Anatomic Pathology & Clinical Pathology)
355 BARD AVENUE
STATEN ISLAND, NY 10310
Richmond County (516) 512-1090
RUSHANIYA UMYAROVA MD
Internal Medicine
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
DR. AVA ELYSE HANLON DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ROOSHNA FIRDOUS FATIMA MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, ROOM 477
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
DIANNA ESTHER LEVIN DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonia Bertelle's NPI number?

The NPI number for Antonia Bertelle is 1053940163. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Antonia Bertelle located?

Antonia Bertelle practices at 355 Bard Avenue Department Of Medicine , Villa Bldg 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Antonia Bertelle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Antonia Bertelle was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.