NPIMap

Individual provider Active NPI

Anton Robert Cherry, DC, PA-C

  • Medical Physician Assistant
  • Wallingford, CT
National Provider Identifier
1730418757
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
02363 Issued in CT
Practice address
50 Gaylord Farm Rd
Wallingford, CT 06492-2899
Phone
(203) 284-2802
NPI assigned
Dec 22, 2009
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2363 CT
Medical Physician Assistant 363AM0700X 02363 CT Primary
Chiropractor 111N00000X 1828 CT

Addresses

Primary practice location

50 Gaylord Farm Rd
Wallingford, CT 06492-2899

Mailing address

12 Elmwood Rd
New Haven, CT 06515-2242
Phone (804) 915-6209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000308 CT Practitioner - Physician Assistant 8820130412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaylord Hospital, Inc.Group PAC ID 1153224191, 39 clinicians
Spine and Pain Institute at Midstate LLCGroup PAC ID 8022279991, 3 clinicians

Practice addresses (Care Compare)

28 Durham Rd
Suite 1
Madison, CT 06443-2699
Phone (203) 284-2800

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8414

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.9 of 100Reported as group
Quality
100
Improvement activities
0
Cost
87.73

Merit-based Incentive Payment System (MIPS)

Final score
67.68 of 100Reported as group
Quality
95.05
Improvement activities
0
Cost
77.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1828CTMDPhysical Therapy Assistant
02363CTMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: anton.cherry@xdr.hhchealthdirect.org

Organizations & group practices 3

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

Hospital & facility affiliations 7

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": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1730418757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELMWOOD RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152242",
            "telephone_number": "804-915-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GAYLORD FARM RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922899",
            "telephone_number": "203-284-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "ANTON",
        "middle_name": "ROBERT",
        "credential": "DC, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2363",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "02363",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.