IndividualActive
Antonio Divanna
NPI 1760348627 · Physician Assistant · New York, NY
Antonio Divanna is a Physician Assistant provider in New York, NY (NPI 1760348627).
Provider details
- NPI number
- 1760348627
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 035224 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-2500
Street-level locationGet directions
Mailing address
4327 192nd St
Flushing, NY 11358-3431
Registry dates
- Enumerated
- 2026-01-05
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Frequently asked questions
- What is Antonio Divanna's NPI number?
- Antonio Divanna's National Provider Identifier (NPI) is 1760348627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antonio Divanna's specialty?
- Antonio Divanna is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Antonio Divanna located?
- Antonio Divanna's practice location on file with NPPES is 622 W 168th St, New York, NY 10032-3720.
- What is Antonio Divanna's phone number?
- The practice phone number listed in the NPPES registry for Antonio Divanna is (212) 305-2500.
- Is Antonio Divanna's NPI active?
- Yes — Antonio Divanna's NPI (1760348627) is active in the NPPES registry as of the last update on 2026-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.