Organization Active NPI

Anita Bhola Medical, P.C.

  • Sleep Medicine (Family Medicine) Physician
  • Cornwall, NY
National Provider Identifier
1437484342
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
182716 Issued in NY
Legal business name
ANITA BHOLA MEDICAL, P.C.
Practice address
19 Laurel Ave
Cornwall, NY 12518-1403
Phone
(845) 348-2209
NPI assigned
Oct 9, 2009
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Anita Bhola, M.DNPI 1972684397
Title
President
Phone
(845) 458-4899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X 182716 NY Primary

Addresses

Primary practice location

19 Laurel Ave
Cornwall, NY 12518-1403

Mailing address

PO Box 612
Millwood, NY 10546-0612
Phone (845) 458-4899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091221000199 NY Part B Supplier - Clinic/Group Practice 1254471485 Receives reassigned benefits from 1 practitioner
Practice locations: Chappaqua, NY; Cornwall, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1437484342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105460612",
            "telephone_number": "845-458-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAUREL AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181403",
            "telephone_number": "845-348-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA BHOLA MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "BHOLA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-458-4899",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NY",
            "license": "182716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.