Anthony Michael Kane, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

188543 Issued in NY

Practice address

20 Godfrey Rd
Bloomingburg, NY 12721-4605

Phone

(718) 841-8454

NPI assigned

May 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Anthony Michael Kane Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anthony Kane MD LLC

  • Clinic/Center
  • Centerville, IN
  • NPI 1326937830
  NPD Authorized official
• BSD Medical Practice II LLC

  • Internal Medicine Physician
  • Union, NJ
  • NPI 1902606833
  NPD Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1124311139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GODFREY RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214605",
            "telephone_number": "718-841-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GODFREY RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214605",
            "telephone_number": "718-841-8454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Herrick Ave",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109773818",
            "country_code": "US",
            "telephone_number": "718-841-8454",
            "fax_number": "718-841-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301099455",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35055072",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA10688800",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "188543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "KANE",
            "middle_name": "MICHAEL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Geoz
• Geoz DME
• Tache Ebony Star Gorton
• Jamie Marie Harper, RN
• Jennifer Marie Jacques, LCSW
• Lyndsey Nicole Keyser, COTA/L
• Marianne Kissane, OTR
• Adonna Rae Kline, LPN
• Christina Leppert-Chavez, RDMS
• Veronica Brescia Luft, LPN

• General Practice Physician in Bloomingburg, NY
• Providers in Bloomingburg, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.

Verify at the official NPI Registry.