Anthony Donatelli, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

155194 Issued in NY

Practice address

5 Foxcroft Road
Manhasset, NY 11030-3720

Phone

(516) 365-0348

Fax

(516) 365-0199

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 9, 2017 through May 9, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700910437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FOXCROFT ROAD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303720",
            "telephone_number": "516-365-0348",
            "fax_number": "516-365-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOXCROFT ROAD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303720",
            "telephone_number": "516-365-0348",
            "fax_number": "516-365-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "155194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Maria Doherty, PA-C
• John Henry Doherty, CRNA
• Cameron Dolan, PA-C
• Alixandra Leigh Domney, MD, MPH
• Michelle Donald, MD
• Donna Lynne Donatelli, LCSW
• Luke Donatelli
• Kaitlin Marie Dondorf, SLP
• Santhosh Prasad Donepudi, MD MS
• Yuchen Dong

• Psychiatry Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.