Anthony Nicholas Donatelli Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

167827 Issued in NY

Practice address

43 Broadway Ave
Sayville, NY 11782-1601

Phone

(631) 603-3770

Fax

(631) 251-7020

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• One on One Medical Care, P.C.

  • Family Medicine Physician
  • Sayville, NY
  • NPI 1609323351
  Medicare reassignment NPD Authorized official
• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth Medical Group

  • Internal Medicine Physician
  • Tarpon Springs, FL
  • NPI 1760786727

  Family Medicine

  Medicare reassignment NPD
• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth North Pinellas

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  NPD
• Annette Racaniello D O P C

  • Family Medicine Physician
  • Brookhaven, NY
  • NPI 1700020260
  NPD (past)
• Long Island Family Medical

  • Emergency Medicine Physician
  • Miller Place, NY
  • NPI 1053461665

  Family Medicine

  NPD (past)
• Thomas J Furci DPM PC

  • Podiatrist
  • Sayville, NY
  • NPI 1598847246
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1730176793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROADWAY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821601",
            "telephone_number": "631-603-3770",
            "fax_number": "631-251-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROADWAY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821601",
            "telephone_number": "631-603-3770",
            "fax_number": "631-251-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "ANTHONY",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME122358",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Dimartino
• Megan-Vinh Dinh, DMD
• James Paul Dinovis, D.P.M.
• Gregory Disanto, O.D.
• Kathryn Elizabeth Dlugozima, OTR
• Glenn Donatelli
• Donna Altonji LCSW PLLC
• Kerry A Donohue, M.A., CCC-SLP BILING
• Laura Donovan
• David P Doring, PSY.D.

• Family Medicine Physician in Sayville, NY
• Providers in Sayville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.