Active NPI
Anthony Joseph Rella, M.D.
- Specialist
- Sloatsburg, NY
National Provider Identifier
1609143601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 084323-1
- Practice address
- 6 Springhouse Way
Sloatsburg, NY 10974 - Phone
- (845) 753-6211
- Fax
- (845) 753-9018
- NPI assigned
- Nov 19, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 084323-1 | NY | Primary |
Addresses
Primary practice location
6 Springhouse Way
Sloatsburg, NY 10974
Mailing address
6 Springhouse Way
Sloatsburg, NY 10974
Phone (845) 753-6211
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 |
|---|---|---|---|---|
| I20160323001250 | NY | Order and Referring Only - General Surgery | 4486951159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084323-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1609143601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SPRINGHOUSE WAY",
"city": "SLOATSBURG",
"state": "NY",
"postal_code": "10974",
"telephone_number": "845-753-6211",
"fax_number": "845-753-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SPRINGHOUSE WAY",
"city": "SLOATSBURG",
"state": "NY",
"postal_code": "10974",
"telephone_number": "845-753-6211",
"fax_number": "845-753-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELLA",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-19",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "084323-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sloatsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.