Active NPI
Anita Bodrogi D.O.
- General Practice Physician
- Plattsburgh, NY
National Provider Identifier
1699962977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 230057-1
- Legal business name
- ANITA BODROGI D.O.
- Practice address
- 130 Court St
Plattsburgh, NY 12901-2776 - Phone
- (518) 562-2369
- Fax
- (518) 562-2263
- NPI assigned
- Oct 1, 2007
- Last updated
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita M. Bodrogi, D.O.
- Title
- Owner
- Phone
- (518) 562-2369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 230057-1 | NY | Primary |
Addresses
Primary practice location
130 Court St
Plattsburgh, NY 12901-2776
Mailing address
130 Court St
Plattsburgh, NY 12901-2776
Phone (518) 562-2369
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Plattsburgh, NY
- NPI 1942275680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1699962977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012776",
"telephone_number": "518-562-2369",
"fax_number": "518-562-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012776",
"telephone_number": "518-562-2369",
"fax_number": "518-562-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANITA BODROGI D.O.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "BODROGI",
"authorized_official_first_name": "ANITA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-562-2369",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "230057-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.