Individual provider Active NPI

Anthony John Taglienti, MD

  • Plastic and Reconstructive Surgery Physician
  • New Hyde Park, NY
National Provider Identifier
1386879880
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
280332 Issued in NY
Practice address
6 Lowell Ave
New Hyde Park, NY 11040-2810
Phone
(516) 326-4160
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Plastic and Reconstructive Surgery Physician 2086S0122X MD446281 PA
Plastic and Reconstructive Surgery Physician 2086S0122X 280332 NY Primary

Addresses

Primary practice location

6 Lowell Ave
New Hyde Park, NY 11040-2810

Mailing address

6 Lowell Ave
New Hyde Park, NY 11040-2810
Phone (516) 326-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160518000030 NY Practitioner - Plastic and Reconstructive Surgery 2769771997 Reassigns benefits to 1 organization
I20200213001559 NJ Practitioner - Plastic and Reconstructive Surgery 2769771997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians
Advanced Dermatology of New Jersey PCGroup PAC ID 4082754759, 12 clinicians

Practice addresses (Care Compare)

175 I U Willets Rd
Suite 2
Albertson, NY 11507-1342
Phone (516) 625-6222

52 Deforest Ave
Summit, NJ 07901-1930
Phone (908) 516-2135

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision51
Removal of tissue25
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
280332NYMDPlastic and Reconstructive Surgery Physician
MD446281PAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of New Jersey PC CurrentSince Jan 3, 2020 Accepting new patients
Advanced Dermatology PC CurrentSince Jul 18, 2018 Accepting new patients
Anthony Buglino DO PLLC PastSince Jul 18, 2018 Accepting new patients
Advanced Surgical Center of Bergen County, P.C. Past Accepting new patients
Paige Applebaum Farkas MD PA Past Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients

Locations

30 Westville Ave
Caldwell, NJ 07006
Phone (973) 228-6866

925 Clifton Ave
Ste 202
Clifton, NJ 07013
Phone (888) 291-4649

1585 Paramus Park Mall
Paramus, NJ 07652

1200 E Ridgewood Ave
Ste 211
Ridgewood, NJ 07450

52 Deforest Ave
Summit, NJ 07901
Phone (908) 277-3116

175 I U Willets Rd
Albertson, NY 11507
Phone (516) 333-0222

175 I U Willets Rd
Ste 2
Albertson, NY 11507
Phone (516) 326-4160

449 N State Rd
Ste 203
Briarcliff Manor, NY 10510
Phone (914) 488-8188

142 Joralemon St
Ste 4B
Brooklyn, NY 11201
Phone (646) 979-8538

366 Veterans Memorial Hwy
Ste 2A
Commack, NY 11725

10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555

5847 188th St
Fresh Meadows, NY 11365
Phone (718) 357-8200

2747 Crescent St
#206
Long Island City, NY 11102
Phone (718) 204-1100

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

145 W 86th St
Ofc 1A
New York, NY 10024
Phone (212) 595-8585

4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ataglienti@advderm.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1386879880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWELL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402810",
            "telephone_number": "516-326-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOWELL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402810",
            "telephone_number": "516-326-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIENTI",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD446281",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "280332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.