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

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.

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
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

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.

Nurse Practitioner (Family)
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Licensed Practical Nurse
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Licensed Practical Nurse
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Psychologist
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Skilled Nursing Facility
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Internal Medicine (Geriatric Medicine)
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Clinic/Center (Adult Day Care)
91 TOMPKINS AVE
STATEN ISLAND, NY 10304
Psychologist (Clinical)
91 TOMPKINS AVE
STATEN ISLAND, NY 10304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891780813, enumerated as an "individual" on September 15, 2005.

The provider is located at 91 TOMPKINS AVE ST ELIZABETH ANN'S HEALTH CARE AND REHAB. CENTER STATEN ISLAND, NY 10304 and the phone number is (718) 876-2494.

Internal Medicine with taxonomy code 207R00000X.