Active NPI
Anthony Mezzio
- Social Worker
- Middletown, NY
National Provider Identifier
1093398752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109811-01
- Practice address
- 15 Fortune Rd W
Middletown, NY 10941-1625 - Phone
- (888) 750-2266
- NPI assigned
- Apr 30, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 109811-01 | NY | Primary |
Addresses
Primary practice location
15 Fortune Rd W
Middletown, NY 10941-1625
Mailing address
15 Fortune Rd W
Middletown, NY 10941-1625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Middletown |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109811-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1093398752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FORTUNE RD W",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109411625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FORTUNE RD W",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109411625",
"telephone_number": "888-750-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZZIO",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109811-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Middletown",
"affiliation": "N",
"address_1": "15 Fortune Rd W",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109411625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.