Individual provider Active NPI

Anthony S Dee, M.D.

  • Dermatology Physician
  • Clarence, NY
National Provider Identifier
1699771832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
214167-1 Issued in NY
Practice address
9276 Main St Ste 1a
Clarence, NY 14031-0554
Phone
(716) 759-7759
Fax
(716) 759-1759
NPI assigned
Jun 22, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 214167-1 NY Primary

Addresses

Primary practice location

9276 Main St Ste 1a
Clarence, NY 14031-0554

Mailing address

9276 Main St Ste 1a
PO Box 554
Clarence, NY 14031-0554
Phone (716) 759-7759

Other identifiers 1

IdentifierTypeStateIssuer
02389751MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001313 NY Practitioner - Dermatology 7315918653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Dee MD PLLCGroup PAC ID 2264403591, 5 clinicians

Practice addresses (Care Compare)

9276 Main St
Suite 1a
Clarence, NY 14031-1969
Phone 71675977596

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions526
Skin biopsy66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214167-1NYMDDermatology Physician

Organizations & group practices 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699771832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 MAIN ST STE 1A",
            "address_2": "PO BOX 554",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140310554",
            "telephone_number": "716-759-7759",
            "fax_number": "716-759-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9276 MAIN ST STE 1A",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140310554",
            "telephone_number": "716-759-7759",
            "fax_number": "716-759-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEE",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "214167-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02389751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

Verify at the official NPI Registry.