Active NPI
Anthony Vine, M.D.
- Surgery Physician
- New York, NY
National Provider Identifier
1629152905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 183969
- Practice address
- 1010 5TH Ave
New York, NY 10028-0130 - Phone
- (212) 879-6677
- Fax
- (212) 650-9981
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 183969 | NY | Primary |
Addresses
Primary practice location
1010 5TH Ave
New York, NY 10028-0130
Mailing address
1010 5TH Ave
New York, NY 10028-0130
Phone (212) 879-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1010 5TH Ave
New York, NY 10028-0130
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629152905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280130",
"telephone_number": "212-879-6677",
"fax_number": "212-650-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280130",
"telephone_number": "212-879-6677",
"fax_number": "212-650-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINE",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "183969",
"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 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; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.