MS. PHYLLIS ALTADONNA RPA-C
NPI 1104961713
Physician Assistant in New York, NY

Active since February 21, 2007
5141 BROADWAY, NEW YORK, NY 10034(212) 932-5218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Phyllis Altadonna Rpa-c NPPES

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

MS. PHYLLIS ALTADONNA RPA-C (NPI 1104961713) is an individual physician assistant in New York, New York, licensed in New York (009880-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104961713
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. PHYLLIS ALTADONNACredential: RPA-C
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address1055 River Rd, Apt 802Edgewater, NJ 07020-1364 · (212) 932-5218 · Fax (212) 932-5258
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104961713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 009880-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5141 BROADWAY, New York, NY 10034

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.

Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034

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 Phyllis Altadonna's NPI number?

The NPI number for Phyllis Altadonna is 1104961713. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Phyllis Altadonna located?

Phyllis Altadonna practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-5218.

What is Phyllis Altadonna's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Altadonna was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.