Anthony John Detommasi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

091662 Issued in NY

Practice address

17 Woodlawn Ave
Albany, NY 12208-3225

Phone

(518) 482-7759

Fax

(518) 438-8091

NPI assigned

Jan 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558417741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODLAWN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083225",
            "telephone_number": "518-482-7759",
            "fax_number": "518-438-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODLAWN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083225",
            "telephone_number": "518-482-7759",
            "fax_number": "518-438-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETOMMASI",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "091662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Francis Desiena, D.M.D.
• Cheryl A Desimone, M.D.
• Martha Ann Desmond, NP
• Diane Lynn Desorbo, RPH
• Elizabeth Destefano, MS, CCC-SLP
• Judy Devaney, R.N.
• Mahalakshmi Devarakonda, M.D
• Neil Sarkis Devejian, M.D.
• Erin C Deverdis, MD
• Annie Bryant Devinney, D.O.

• Psychiatry Physician in Albany, NY
• Providers in Albany, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.