Active NPI
Anne R. Mullin, M.D.
- Internal Medicine Physician
- New Windsor, NY
National Provider Identifier
1023038106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 179381
- Practice address
- 3068 Route 9W Ste 200
New Windsor, NY 12553-7663 - Phone
- (845) 534-9590
- Fax
- (845) 534-9685
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 179381 | NY | Primary |
Addresses
Primary practice location
3068 Route 9W Ste 200
New Windsor, NY 12553-7663
Mailing address
2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400036997 | Other | MEDICARE | |
| 01375777 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1023038106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COATES DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246758",
"telephone_number": "845-651-1400",
"fax_number": "845-651-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3068 ROUTE 9W STE 200",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537663",
"telephone_number": "845-534-9590",
"fax_number": "845-534-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "ANNE",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "179381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400036997",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01375777",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.