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DR. ANTONIETTA PANNULLO DDS
NPI 1659609543
Dentist - General Practice in Floral Park, NY

Active since December 03, 2009PECOS Enrolled
132 TULIP AVE, FLORAL PARK, NY 11001(516) 775-2666 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Antonietta Pannullo Dds NPPES

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

DR. ANTONIETTA PANNULLO DDS (NPI 1659609543) is an individual general practice provider in Floral Park, New York, licensed in New York (046978) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659609543
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANTONIETTA PANNULLOCredential: DDS
Location Address132 TULIP AVEFloral Park, NY 11001-2704
Mailing Address132 Tulip AveFloral Park, NY 11001-2704 · (516) 775-2666
Phone(516) 775-2666
Sole ProprietorYes
Enumeration DateDecember 3, 2009
✔ NPI 1659609543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 046978
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
132 TULIP AVE, Floral Park, NY 11001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Antonietta Pannullo Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Antonietta Pannullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of New York Comptrollers Office
1.6 mi
Developmental Disabilities
FINESON DDSOO CLINIC, 80-45 WINCHESTER BLVD BLDG 80
Queens Village, NY 11428
  • Reassigned Medicare billing, New York enrollment
  • 342 clinicians in this Medicare group
NPI 1972084366 (518) 402-4333

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 11001 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.

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 Pannullo's NPI number?

The NPI number for Antonietta Pannullo is 1659609543. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Antonietta Pannullo located?

Antonietta Pannullo practices at 132 Tulip Ave, Floral Park, NY 11001. The listed phone number is (516) 775-2666.

What is Antonietta Pannullo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Antonietta Pannullo enrolled in Medicare?

Yes. Antonietta Pannullo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Antonietta Pannullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonietta Pannullo reassigns Medicare benefits to State Of New York Comptrollers Office (Queens Village, 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 Pannullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonietta Pannullo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Antonietta Pannullo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antonietta Pannullo was last updated on December 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.