Individual provider Active NPI

Anonna Chowdhury, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1679288914
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1468 Madison Ave
New York, NY 10029-6508
Phone
(212) 241-5912
NPI assigned
Jan 20, 2023
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

1468 Madison Ave
New York, NY 10029-6508

Mailing address

164 Alaska St
Staten Island, NY 10310-1204

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.mountsinai.org/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315001858 NY Practitioner - Physician Assistant 0941674816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 N Broadway
Yonkers, NY 10701-1330
Phone (212) 731-6761

13620 38TH Ave
Suite 5F
Flushing, NY 11354-4232
Phone (212) 731-6761

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (212) 731-6761

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 808-7777

5 E 98TH St
FL 7
New York, NY 10029-6501
Phone (212) 731-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Multi-Specialty CurrentSince Mar 23, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Mar 10, 2023 Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty CurrentSince Mar 23, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 10, 2023 Accepting new patients

Locations

13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

50 Water St
Fl 3
New York, NY 10004

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1679288914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 ALASKA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "ANONNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mountsinai.org/",
            "affiliation": "N",
            "address_1": "1468 Madison Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100296508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.