Anthony Richard Deboni, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

207006 Issued in NY

Practice address

5898 Bridge St
East Syracuse, NY 13057-1305

Phone

(315) 663-0112

Fax

(315) 663-0132

NPI assigned

Oct 10, 2006

Last updated

May 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

State University of Ny Upstate Medical University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cny Cosmetic and Reconstructive Surgery LLCGroup PAC ID 8123106424, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Merit-based Incentive Payment System (MIPS)

Final score

94.9 of 100Reported as group

Quality

89.8

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adeboni@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cny Cosmetic & Reconstructive Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • East Syracuse, NY
  • NPI 1922215979
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1023106887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5898 BRIDGE ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130576603",
            "telephone_number": "315-663-0112",
            "fax_number": "315-663-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5898 BRIDGE ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571305",
            "telephone_number": "315-663-0112",
            "fax_number": "315-663-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBONI",
        "first_name": "ANTHONY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "207006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPS#",
            "identifier": "7252",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB7624",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeboni@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "5898 Bridge St",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130571305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kourtney K Darrow, NP
• David M. Girardi, OD, LLC
• David Torrales, OD, PLLC
• Christopher Hugh Davis
• Nora Elizabeth Davis, TSSLD
• Susan Decker
• Emilia Del Pino, M.S.
• Connor Delaney, DPT
• Karen Dellas, L. AC.
• Kayla Delmar, DO

• Plastic Surgery Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.