Active NPI
Anthony Joseph Proli II, PHARMD
- Oncology Pharmacist
- New York, NY
National Provider Identifier
1073943353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 058038-1
- Practice address
- 1233 York Ave
RM 307
New York, NY 10065-6306 - Phone
- (212) 639-8449
- NPI assigned
- Nov 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 058038-1 | NY | Primary |
| Oncology Pharmacist | 1835X0200X | 0011962 | CT |
Addresses
Primary practice location
1233 York Ave
RM 307
New York, NY 10065-6306
Mailing address
213 E 10TH St
Apt 16
New York, NY 10003-7631
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011962 | CT | MD | Oncology Pharmacist |
| 058038-1 | NY | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1073943353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 E 10TH ST",
"address_2": "APT 16",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100037631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 YORK AVE",
"address_2": "RM 307",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656306",
"telephone_number": "212-639-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROLI",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NY",
"license": "058038-1",
"primary": true
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CT",
"license": "0011962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.