Organization Active NPI

Anita Bodrogi D.O.

  • General Practice Physician
  • Plattsburgh, NY
National Provider Identifier
1699962977
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
230057-1 Issued in NY
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Anita M. Bodrogi, D.O.NPI 1851475487
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.