Active NPI
Aneta K Dimova, M.D.
- Cardiovascular Disease Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 204325
- Practice address
- 111 Mary'S Ave
Suite 3
Kingston, NY 12401-5853 - Phone
- (845) 339-3663
- Fax
- (845) 339-3629
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 204325 | NY | Primary |
Addresses
Primary practice location
111 Mary'S Ave
Suite 3
Kingston, NY 12401-5853
Mailing address
111 Mary'S Ave
Suite 3
Kingston, NY 12401-5853
Phone (845) 339-3663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01673225 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Foxhall Ave
Kingston, NY 12401-5107
Phone (845) 338-1535
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131
111 Marys Ave
Suite 3
Kingston, NY 12401-5896
Phone (845) 339-3663
117 Marys Ave
Suite 102
Kingston, NY 12401-5849
Phone (845) 338-5555
396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131
42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132
42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204325 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients |
Locations
111 Marys Ave
Ste 3
Kingston, NY 12401
Phone (845) 452-7319
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- Critical Access Hospital
- Margaretville, NY
- NPI 1164473039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1104818343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARY'S AVE",
"address_2": "SUITE 3",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015853",
"telephone_number": "845-339-3663",
"fax_number": "845-339-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARY'S AVE",
"address_2": "SUITE 3",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015853",
"telephone_number": "845-339-3663",
"fax_number": "845-339-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMOVA",
"first_name": "ANETA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "204325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01673225",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.