Active NPI
Anthony Joseph Sanzone, DPM
- Podiatrist
- Endicott, NY
National Provider Identifier
1821096884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004135-1
- Practice address
- 609 E Main St
Suite 10
Endicott, NY 13760-5036 - Phone
- (607) 785-3388
- Fax
- (607) 785-4072
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004135-1 | NY | Primary |
Addresses
Primary practice location
609 E Main St
Suite 10
Endicott, NY 13760-5036
Mailing address
609 E Main St
Suite 10
Endicott, NY 13760-5036
Phone (607) 785-3388
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161356692 | Other | NY | BLUE CROSS BLUE SHIELD |
| 10034355 | Other | NY | CDPHP |
| 01007047 | Medicaid | NY | |
| 4556107 | Other | NY | AETNA |
| 540007 | Other | NY | MVP |
| 0049122 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004135-1 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1821096884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 E MAIN ST",
"address_2": "SUITE 10",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137605036",
"telephone_number": "607-785-3388",
"fax_number": "607-785-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E MAIN ST",
"address_2": "SUITE 10",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137605036",
"telephone_number": "607-785-3388",
"fax_number": "607-785-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANZONE",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004135-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "161356692",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10034355",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01007047",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4556107",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "540007",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0049122",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.