Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SIMONA PETKOVIC M.D.
NPI 1891780813
Internal Medicine in Staten Island, NY

Q: What is Simona Petkovic's NPI number?

The NPI number for Simona Petkovic is 1891780813. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Q: What is Simona Petkovic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Simona Petkovic was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 15, 2005

91 TOMPKINS AVE, ST ELIZABETH ANN'S HEALTH CARE AND REHAB. CENTER, STATEN ISLAND, NY 10304(718) 876-2494 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Simona Petkovic M.d. NPPES

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

DR. SIMONA PETKOVIC M.D. (NPI 1891780813) is an individual internal medicine provider in Staten Island, New York, licensed in New York (233162) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1891780813

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SIMONA PETKOVICCredential: M.D.

Location Address91 TOMPKINS AVE, ST ELIZABETH ANN'S HEALTH CARE AND REHAB. CENTERStaten Island, NY 10304-2601

Mailing Address700 Victory Blvd, Apt 10 NStaten Island, NY 10301-3554

Phone(718) 876-2494

Sole ProprietorNo

Enumeration DateSeptember 15, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1891780813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 233162

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.

91 TOMPKINS AVE, Staten Island, NY 10304

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE LING FNP

Nurse Practitioner (Family)