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NPI 1891439360 · live from the CMS NPI Registry

John Thomas Altavilla, MD

Emergency Medicine in New York, NY. National Provider Identifier 1891439360, active.

NPI record

NPI1891439360 Type 1 · individual
StatusActive
Primary specialtyEmergency Medicine 207P00000X
Practice location550 1st Ave, New York, NY 10016
Practice phone212-263-5506
Mailing address8 Hoffman Dr, Califon, NJ 07830
EnumeratedApril 21, 2022
Last updatedApril 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medicine primary207P00000X25MA13035100 (NJ)
Student in an Organized Health Care Education/Training Program390200000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.