Active NPI
Vincent W Ansanelli, MD
- Surgery Physician
- Plainview, NY
National Provider Identifier
1982617635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 077169-1
- Practice address
- 100 Manetto Hill Road
Suite 210
Plainview, NY 11803 - Phone
- (516) 938-4686
- Fax
- (516) 938-4722
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 077169-1 | NY | Primary |
Addresses
Primary practice location
100 Manetto Hill Road
Suite 210
Plainview, NY 11803
Mailing address
100 Manetto Hill Road
Suite 210
Plainview, NY 11803
Phone (516) 938-4686
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131965P | Other | HIP | |
| 0027454 | Other | GHI PPO | |
| 26387 | Other | AETNA | |
| 1C6124 | Other | HEALTHNET | |
| 00000076877 | Other | GHI HMO | |
| AS1109 | Other | OXFORD | |
| 02004278 | Other | RAILROAD MEDICARE | |
| 2173633 | Other | OXFORD AMB SURG GRP | |
| AA72048 | Other | MDNY | |
| ANC1635 | Other | OXFORD AMB SURG |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077169 | NY | MD | Social Worker |
| 077169-1 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982617635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MANETTO HILL ROAD",
"address_2": "SUITE 210",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-938-4686",
"fax_number": "516-938-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MANETTO HILL ROAD",
"address_2": "SUITE 210",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-938-4686",
"fax_number": "516-938-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSANELLI",
"first_name": "VINCENT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "077169-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "131965P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0027454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "26387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1C6124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "00000076877",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AS1109",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "02004278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD AMB SURG GRP",
"identifier": "2173633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AA72048",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD AMB SURG",
"identifier": "ANC1635",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.