Active NPI
Anthony Frank Santoro, PHD
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1508570722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 025471
- Practice address
- 240 Central Park S Apt 2B
New York, NY 10019-1429 - Phone
- (212) 784-6098
- NPI assigned
- Jan 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 025471 | NY | |
| Clinical Neuropsychologist | 103G00000X | 025471 | NY | Primary |
Addresses
Primary practice location
240 Central Park S Apt 2B
New York, NY 10019-1429
Mailing address
240 Central Park S Apt 2B
New York, NY 10019-1429
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025471 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1508570722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 CENTRAL PARK S APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 CENTRAL PARK S APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191429",
"telephone_number": "212-784-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORO",
"first_name": "ANTHONY",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-11",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025471",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "025471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.