Active NPI
Anthony Francis Cordaro, M.D.
- Gastroenterology Physician
- Floral Park, NY
National Provider Identifier
1609879451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 122018
- Practice address
- 271 Jericho Tpke
Floral Park, NY 11001-2146 - Phone
- (516) 352-1414
- Fax
- (516) 352-9162
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 122018 | NY | Primary |
Addresses
Primary practice location
271 Jericho Tpke
Floral Park, NY 11001-2146
Mailing address
271 Jericho Tpke
Floral Park, NY 11001-2146
Phone (516) 352-1414
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693761 | Other | NY | CIGNA PPO |
| 693761 | Other | NY | BLUE CROSS |
| 693761 | Other | NY | UNITED HEALTH CARE |
| AP912 | Other | NY | OXFORD |
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 |
|---|---|---|---|---|
| I20090506000289 | NY | Practitioner - Internal Medicine | 0941358675 | Practice locations: Floral Park, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122018 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1609879451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012146",
"telephone_number": "516-352-1414",
"fax_number": "516-352-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012146",
"telephone_number": "516-352-1414",
"fax_number": "516-352-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDARO",
"first_name": "ANTHONY",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "122018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "693761",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "693761",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "693761",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP912",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.