MISS ANTONIETTA DE LOS REYES FNP
NPI 1639277288
Nurse Practitioner in Staten Island, NY
About Miss Antonietta De Los Reyes Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS ANTONIETTA DE LOS REYES FNP (NPI 1639277288) is an individual nurse practitioner in Staten Island, New York, licensed in New York (F334883) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Antonietta De Los Reyes Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Antonietta De Los Reyes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newyork, NY 10029
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1750649612 (New York)
- 233 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Antonietta De Los Reyes's NPI number?
The NPI number for Antonietta De Los Reyes is 1639277288. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Antonietta De Los Reyes located?
Antonietta De Los Reyes practices at 1361 Hylan Blvd, Staten Island, NY 10305. The listed phone number is (718) 979-2828.
What is Antonietta De Los Reyes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Antonietta De Los Reyes enrolled in Medicare?
Yes. Antonietta De Los Reyes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Antonietta De Los Reyes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonietta De Los Reyes reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (Newyork, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonietta De Los Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Antonietta De Los Reyes was last updated on June 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Miss Antonietta De Los Reyes, FNP · NPI 1639277288
Nurse Practitioner physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1639277288 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F334883 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1361 HYLAN BLVD, Staten Island, NY 10305-1902
- **Phone:** (718) 979-2828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Icahn School Of Medicine At Mount Sinai (NPI 1558627844, Newyork, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1639277288) · Data from the CMS NPPES public registry.