Active NPI
Anthony Spadaro, M.D.
- Pulmonary Disease Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 167445
- Practice address
- 373 Route 111 Ste 5
Smithtown, NY 11787-4759 - Phone
- (631) 360-8481
- Fax
- (631) 360-0849
- NPI assigned
- Jun 26, 2006
- Last updated
- Oct 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 167445 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 167445 | NY | Primary |
Addresses
Primary practice location
373 Route 111 Ste 5
Smithtown, NY 11787-4759
Mailing address
373 Route 111
Ste 5
Smithtown, NY 11787-4759
Phone (631) 360-8481
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
- Pulmonary Disease
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
1000 N Village Ave
Rockville Center, NY 11570-1000
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167445 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Internal Medicine Assoc. of Smithtown,P.C. | Internal Medicine | Current | Accepting new patients |
Locations
521 Route 111
Hauppauge, NY 11788
Phone (631) 265-9645
521 Route 111
Ste 20
Hauppauge, NY 11788
521 Route 111
Ste 202
Hauppauge, NY 11788
Phone (631) 265-9850
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aspadaro17739@direct-chsli.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Pulmonary Disease Physician
- Smithtown, NY
- NPI 1336156892
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Preferred Provider Organization
- Hauppauge, NY
- NPI 1801098801
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1225065386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 ROUTE 111",
"address_2": "STE 5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874759",
"telephone_number": "631-360-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 ROUTE 111 STE 5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874759",
"telephone_number": "631-360-8481",
"fax_number": "631-360-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADARO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "167445",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "167445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.