Individual provider Active NPI

Deborah Aanonsen, D.O.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1952395717
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190729 Issued in NY
Practice address
11 Ralph PL
Suite 314
Staten Island, NY 10304-4419
Phone
(718) 815-3033
NPI assigned
Sep 8, 2005
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 190729 NY Primary

Addresses

Primary practice location

11 Ralph PL
Suite 314
Staten Island, NY 10304-4419

Mailing address

11 Ralph PL
Suite 314
Staten Island, NY 10304-4419
Phone (718) 815-3033

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
I20040804001656 NY Practitioner - Internal Medicine 8325019052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Ralph PL
Suite 314
Staten Island, NY 10304-4420
Phone (718) 815-3033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190729NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a. Aanonsen DO PLLC Internal Medicine CurrentSince Jun 1, 2006 Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients

Locations

11 Ralph Pl
Ste 314
Staten Island, NY 10304
Phone (718) 448-8040

Interoperability endpoints

  • Direct secure messaging: deborah.aanonsen.1@22212.direct.athenahealth.com
  • Direct secure messaging: deborahaanonsen@dda-ny.direct.office.nextgen.com
  • Direct secure messaging: debrah.aanonsen.p1@direct.mmc.nextgenshare.com

Organizations & group practices 2

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 4

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1952395717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 314",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-815-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 314",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-815-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AANONSEN",
        "first_name": "DEBORAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.