MS. ANNETTE POPE-LYDON P.A.
NPI 1174587596
Physician Assistant in Staten Island, NY

Q: What is Annette Pope-lydon's NPI number?

The NPI number for Annette Pope-lydon is 1174587596. It was assigned to this individual provider in the NPPES registry on April 13, 2006. The provider is also known as Ms. Annette Pope P.A..

Q: What is Annette Pope-lydon's specialty?

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

Active since April 13, 2006PECOS Enrolled

475 SEAVIEW AVE, 4E (NICU), STATEN ISLAND, NY 10305(718) 273-1381 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Annette Pope-lydon P.a. NPPES

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

MS. ANNETTE POPE-LYDON P.A. (NPI 1174587596) is an individual physician assistant in Staten Island, New York, licensed in New York (0053441) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174587596

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. ANNETTE POPE-LYDONCredential: P.A.

Location Address475 SEAVIEW AVE, 4E (NICU)Staten Island, NY 10305-3436

Mailing Address475 Seaview Ave, 4e (nicu)Staten Island, NY 10305-3436 · (718) 273-1381

Phone(718) 273-1381

Sole ProprietorNo

Enumeration DateApril 13, 2006

Last NPPES UpdateMarch 7, 2017

✔ NPI 1174587596 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 · 0053441

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.

475 SEAVIEW AVE, Staten Island, NY 10305

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Other Names 1

Professional Name (2)Ms. Annette Pope P.a.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Annette Pope-lydon P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)