Active NPI
Anthony Fred Guidarelli, MD
- Orthopaedic Surgery Physician
- Schenectady, NY
National Provider Identifier
1083632418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1055921
- Practice address
- 622 Michigan Avenue
Schenectady, NY 12303 - Phone
- (518) 372-6401
- Fax
- (518) 372-1612
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1055921 | NY | Primary |
Addresses
Primary practice location
622 Michigan Avenue
Schenectady, NY 12303
Mailing address
PO Box 3452
Schenectady, NY 12303
Phone (518) 372-6401
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00527353 | Medicaid | NY | |
| COS1055920 | Other | NY | WCB |
| 10000819 | Other | NY | CDPHP |
| 18115 | Other | NY | MVP |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055921 | NY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083632418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3452",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12303",
"telephone_number": "518-372-6401",
"fax_number": "518-372-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 MICHIGAN AVENUE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12303",
"telephone_number": "518-372-6401",
"fax_number": "518-372-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDARELLI",
"first_name": "ANTHONY",
"middle_name": "FRED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "1055921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00527353",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WCB",
"identifier": "COS1055920",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000819",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "18115",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.