DEBORAH A. AANONSEN DO PLLC
NPI 1770655268
Internal Medicine in Staten Island, NY

Active since November 14, 2006CLIA 33D1062579 · Waiver
11 RALPH PL, SUITE 314, STATEN ISLAND, NY 10304(718) 815-3033 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deborah A. Aanonsen Do Pllc NPPES

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

DEBORAH A. AANONSEN DO PLLC (NPI 1770655268) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Deborah A Aanonsen, Director, as its authorized official.

NPPES Registry Identity

NPI1770655268
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDEBORAH A. AANONSEN DO PLLC
Location Address11 RALPH PL, SUITE 314Staten Island, NY 10304-4419
Mailing Address11 Ralph Pl, Suite 314Staten Island, NY 10304-4419 · (718) 815-3033
Organization SubpartNo
Authorized OfficialDeborah A AanonsenDirector · (718) 815-3033
Enumeration DateNovember 14, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1770655268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11 RALPH PL, Staten Island, NY 10304

Other Identifiers 1

Medicare PINWANA01NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah A. Aanonsen Do Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deborah A. Aanonsen Do PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1952395717
11 RALPH PL SUITE 314
Staten Island, NY 10304
(718) 815-3033
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1062579

Deborah A Aanonsen, Do PLLC · Staten Island, NY
Active · expires Dec 18, 2026
CLIA Number33D1062579
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorDr. Deborah A. Aanonsen
Laboratory Phone(718) 815-3033
Laboratory LocationDeborah A Aanonsen, Do PLLC11 Ralph Place, Suite 314, Staten Island, NY 10304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Deborah A. Aanonsen Do PLLC's NPI number?

The NPI number for Deborah A. Aanonsen Do PLLC is 1770655268. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Deborah A. Aanonsen Do PLLC located?

Deborah A. Aanonsen Do PLLC is located at 11 Ralph Pl Suite 314, Staten Island, NY 10304. The listed phone number is (718) 815-3033.

What is Deborah A. Aanonsen Do PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Deborah A. Aanonsen Do PLLC enrolled in Medicare?

Yes. Deborah A. Aanonsen Do PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deborah A. Aanonsen Do PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Deborah A. Aanonsen Do PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deborah A. Aanonsen Do PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1062579) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deborah A. Aanonsen Do PLLC was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.