PETTY TINEO
NPI 1386225712
Student in an Organized Health Care Education/Training Program in New York, NY
About Petty Tineo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETTY TINEO (NPI 1386225712) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Petty Tineo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Petty Tineo's NPI number?
The NPI number for Petty Tineo is 1386225712. It was assigned to this individual provider in the NPPES registry on April 17, 2021.
Where is Petty Tineo located?
Petty Tineo practices at 3959 Broadway, New York, NY 10032. The listed phone number is (551) 795-2266.
What is Petty Tineo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Petty Tineo enrolled in Medicare?
Yes. Petty Tineo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Petty Tineo was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Petty Tineo · NPI 1386225712
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 17, 2021.
## Identity
- **NPI:** 1386225712 (Entity type: Individual)
- **Enumerated:** April 17, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3959 BROADWAY, New York, NY 10032-1559
- **Phone:** (551) 795-2266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386225712) · Data from the CMS NPPES public registry.