Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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George J Rettagliata, MD

Individual provider Internal Medicine Physician · NPI 1063524536

George J Rettagliata, MD is an Internal Medicine in Staten Island, New York. Qualified in 1985, 41 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11 Ralph Pl Ste 308
Staten Island, NY 10304-4416
Phone: (718) 442-2882
Fax: (718) 442-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 178978 (NY)

Record details

NPI number1063524536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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