Individual provider Active NPI

Anthony P Ardito, MD

  • Internal Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1508829664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
187509 Issued in NY
Practice address
41 Forest Ave
Glen Cove, NY 11542-2107
Phone
(516) 671-6666
Fax
(516) 674-0991
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 187509 NY Primary

Addresses

Primary practice location

41 Forest Ave
Glen Cove, NY 11542-2107

Mailing address

41 Forest Ave
Glen Cove, NY 11542-2107
Phone (516) 671-6666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000471 NY Practitioner - Internal Medicine 8022180116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

500 Commack Rd
Unit 150D
Commack, NY 11725-5009
Phone (631) 689-6698

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
187509NYMDInternal Medicine Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Apr 1, 2019 Accepting new patients
Prohealth Accountable Care Medical Group PLLC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
CHS Physician Partners, PC CurrentSince Apr 1, 2019 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Optum Urgent Care, PLLC Past Accepting new patients

Locations

500 Commack Rd
Unit 150D
Commack, NY 11725
Phone (318) 644-4996

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508829664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422107",
            "telephone_number": "516-671-6666",
            "fax_number": "516-674-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422107",
            "telephone_number": "516-671-6666",
            "fax_number": "516-674-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDITO",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.