ANNALISA TOLENTINO
NPI 1093108524
Physician Assistant - Surgical in Fresh Meadows, NY

Active since March 09, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
18603 UNION TPKE, FRESH MEADOWS, NY 11366(929) 264-6778 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, May 9, 2024, Dec 7, 2022 (3 updates tracked since 2022).

About Annalisa Tolentino NPPES

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

ANNALISA TOLENTINO (NPI 1093108524) is an individual surgical provider in Fresh Meadows, New York, licensed in New York (006463) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093108524
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANNALISA TOLENTINO
Location Address18603 UNION TPKEFresh Meadows, NY 11366-1733
Mailing Address5645 Main StreetFlushing, NY 11355
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 9, 2015
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1093108524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 006463
18603 UNION TPKE, Fresh Meadows, NY 11366

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Annalisa Tolentino is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436542545
PECOS Enrollment IDI20220214002131
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
18603 UNION TPKE
FRESH MEADOWS, NY 11366
Nurse Practitioner (Family)
18603 UNION TPKE
FRESH MEADOWS, NY 11366

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 Annalisa Tolentino's NPI number?

The NPI number for Annalisa Tolentino is 1093108524. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Where is Annalisa Tolentino located?

Annalisa Tolentino practices at 18603 Union Tpke, Fresh Meadows, NY 11366. The listed phone number is (929) 264-6778.

What is Annalisa Tolentino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Annalisa Tolentino enrolled in Medicare?

Yes. Annalisa Tolentino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Annalisa Tolentino was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.