Active NPI
Anthony J Di Giovanna, MD
- Family Medicine Physician
- Cortland, NY
National Provider Identifier
1477537595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 171283
- Practice address
- 1259 Fisher Ave
Cortland, NY 13045-1012 - Phone
- (607) 756-4600
- Fax
- (607) 753-6266
- NPI assigned
- Dec 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 171283 | NY | Primary |
Addresses
Primary practice location
1259 Fisher Ave
Cortland, NY 13045-1012
Mailing address
1001 W Fayette St
Ste 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100210000152 | NY | Practitioner - Family Practice | 8729099940 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171283 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1477537595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-472-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 FISHER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451012",
"telephone_number": "607-756-4600",
"fax_number": "607-753-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI GIOVANNA",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "171283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.