Individual provider Active NPI

Allen M. Williams, M.D.

  • Anesthesiology Physician
  • Smithtown, NY
National Provider Identifier
1720062680
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
223882 Issued in NY
Practice address
415 W Main St
Smithtown, NY 11787-2612
Phone
(631) 521-7341
Fax
(631) 521-7342
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 223882 NY Primary

Addresses

Primary practice location

415 W Main St
Smithtown, NY 11787-2612

Mailing address

415 W Main St
Smithtown, NY 11787-2612
Phone (631) 521-7341

Other identifiers 1

IdentifierTypeStateIssuer
02246091MedicaidNY

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
I20040830000933 NY Practitioner - Anesthesiology 0042204224 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

469 N Broadway
Yonkers, NY 10701-1923
Phone (914) 666-8866

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223882NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 9, 2017 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Nov 15, 2016 Accepting new patients
Bronx Anesthesia Services, PC Anesthesiology CurrentSince Jan 1, 2011 Accepting new patients
Jamaica Anesthesiologist, PC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jul 9, 2017 Accepting new patients
Oswego Hospital CurrentSince May 9, 2017 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Oswego Hospital Anesthesiology CurrentSince May 9, 2017 Accepting new patients
St. Barnabas Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients

Locations

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

560 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 482-0600

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

444 Merrick Rd
Fl 4
Lynbrook, NY 11563
Phone (516) 256-2104

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

303 S Broadway
Ste 34
Tarrytown, NY 10591
Phone (914) 366-6161

Networks

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

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1720062680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872612",
            "telephone_number": "631-521-7341",
            "fax_number": "631-521-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872612",
            "telephone_number": "631-521-7341",
            "fax_number": "631-521-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALLEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "223882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02246091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.