Active NPI
Anthony Gobbo, MD
- Psychiatry Physician
- Utica, NY
National Provider Identifier
1508421454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 319701
- Practice address
- 1400 Noyes St
Utica, NY 13502-3852 - Phone
- (315) 738-3108
- NPI assigned
- May 7, 2019
- Last updated
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 319701 | NY | Primary |
Addresses
Primary practice location
1400 Noyes St
Utica, NY 13502-3852
Mailing address
1400 Noyes St
Utica, NY 13502-3852
Phone (315) 738-3108
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 |
|---|---|---|---|---|
| I20240729000347 | NY | Order and Referring Only - Psychiatry | 6204372006 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nys Office of Mental Health | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- gobboa1@hiemail.healtheconnections.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1508421454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NOYES ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023852",
"telephone_number": "315-738-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NOYES ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023852",
"telephone_number": "315-738-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBBO",
"first_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "319701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.