Vincent Anzalone Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

157952 Issued in NY

Legal business name

VINCENT ANZALONE PHYSICIAN PC

Practice address

847 N Broadway
Suite 103
Massapequa, NY 11758-2373

Phone

(516) 798-0441

Fax

(516) 798-0445

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Peter Anzalone, M.D.

Title

President

Phone

(516) 798-0441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Kinneary, NP

  • Adult Health Nurse Practitioner
  • Massapequa, NY
  • NPI 1669773479
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1083996227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD",
            "address_2": "SUITE 200B",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143471",
            "telephone_number": "516-576-5651",
            "fax_number": "516-576-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 N BROADWAY",
            "address_2": "SUITE 103",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582373",
            "telephone_number": "516-798-0441",
            "fax_number": "516-798-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT ANZALONE PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ANZALONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-798-0441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "157952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Esperanza Villa
• Ashley S Villalba
• Joanne C. Villani, P.T.
• Karla Villanueva
• Maria Villari
• Dorie Vinciguerra
• Frank Anthony Virga, D.D.S.
• Paul Virga, D.D.S.
• Jennifer Marie Voigt
• Janet Vollmer Peters, MS,CCC,LSP

• Internal Medicine Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.