Active NPI
Anthony Thomas Keifer, P.A
- Surgical Physician Assistant
- Bronx, NY
National Provider Identifier
1659714178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 016402
- Practice address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1138 - Phone
- (718) 918-5000
- NPI assigned
- Apr 15, 2013
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 016402 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Mailing address
94 Miller Ave
North Babylon, NY 11703-4023
Phone (631) 258-8309
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914001076 | NY | Order and Referring Only - Physician Assistant | 3870957509 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016402 | NY | MD | Surgical Physician Assistant |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- akeifer840990@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1659714178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 MILLER AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034023",
"telephone_number": "631-258-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIFER",
"first_name": "ANTHONY",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "P.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "016402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Keep It Simple and Safe Foundation Inc
- Keep It Simple and Safe Foundation Inc
- Victoria Lee Keghlian
- Olubukola Abisola Kehinde
- Sze Nga Kei, MS CCC-SLP
- Keili-Lucy Lukban & Associates Inc.
- Carley Ann Keim, MD
- Harold D Keiser, MD
- Keisha a Ballentine-Cargill NP in Family Health, P.C.
- Shannon Keisling, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.