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MS. THEODORA MONTELL CROSS RN,MS,CNS,ANP-BC,CDE
NPI 1972751691
Nurse Practitioner - Adult Health in Staten Island, NY

Active since September 05, 2008
79 COTTAGE PL, STATEN ISLAND, NY 10302(718) 816-8423(718) 816-5024 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Theodora Montell Cross Rn,ms,cns,anp-bc,cde NPPES

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

MS. THEODORA MONTELL CROSS RN,MS,CNS,ANP-BC,CDE (NPI 1972751691) is an individual adult health provider in Staten Island, New York, licensed in New York (F304508) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1972751691
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. THEODORA MONTELL CROSSCredential: RN,MS,CNS,ANP-BC,CDE
Location Address79 COTTAGE PLStaten Island, NY 10302-1522
Mailing Address79 Cottage PlStaten Island, NY 10302-1522 · (718) 816-8423 · Fax (718) 816-5024
Phone(718) 816-8423
Fax(718) 816-5024
Sole ProprietorYes
Enumeration DateSeptember 5, 2008
✔ NPI 1972751691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F304508
79 COTTAGE PL, Staten Island, NY 10302
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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 Theodora Cross's NPI number?

The NPI number for Theodora Cross is 1972751691. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Theodora Cross located?

Theodora Cross practices at 79 Cottage Pl, Staten Island, NY 10302. The listed phone number is (718) 816-8423.

What is Theodora Cross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Theodora Cross was last updated on September 5, 2008. 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.