Active NPI
Anita Joy, ANP
- Adult Health Nurse Practitioner
- North Syracuse, NY
National Provider Identifier
1407011158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F304909-1
- Practice address
- 6846 Buckley Rd
North Syracuse, NY 13212-4264 - Phone
- (315) 410-6400
- Fax
- (315) 410-6410
- NPI assigned
- Jul 22, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304909-1 | NY | Primary |
Addresses
Primary practice location
6846 Buckley Rd
North Syracuse, NY 13212-4264
Mailing address
6846 Buckley Rd
North Syracuse, NY 13212-4264
Phone (315) 410-6400
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304909-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcellus Family Medicine PLLC | Current | Accepting new patients | |
| Familycare Medical Group, PC | Past | Accepting new patients | |
| Thomas D Maher MD PLLC | Past | Accepting new patients |
Locations
28 E Main St
Marcellus, NY 13108
Phone (315) 673-1131
28 E Main St
#1-2
Marcellus, NY 13108
Phone (315) 673-9926
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Marcellus, NY
- NPI 1245427640
-
- Family Medicine Physician
- Syracuse, NY
- NPI 1447212063
-
- Internal Medicine Physician
- Skaneateles, NY
- NPI 1700044344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1407011158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6846 BUCKLEY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124264",
"telephone_number": "315-410-6400",
"fax_number": "315-410-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6846 BUCKLEY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124264",
"telephone_number": "315-410-6400",
"fax_number": "315-410-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOY",
"first_name": "ANITA",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304909-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.