Individual provider Active NPI

Anne Vasilas Dwoskin, ANP

  • Adult Health Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1982904991
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
300629 Issued in NY
Practice address
189 Main Rd
Riverhead, NY 11901-1957
Phone
(631) 288-7120
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 300629 NY Primary

Addresses

Primary practice location

189 Main Rd
Riverhead, NY 11901-1957

Mailing address

189 Main Rd
Ste F
Riverhead, NY 11901-1957
Phone (631) 288-7120

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170505001237 NY Practitioner - Nurse Practitioner 7012298532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
Cornell University Medical College Past Accepting new patients
Weill Medical College of Cornell PastSince Sep 1, 2011 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

250 Patchogue Yaphank Rd
Ste 5
East Patchogue, NY 11772
Phone (631) 654-3330

6835 Myrtle Ave
Glendale, NY 11385
Phone (718) 386-9876

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

189 Main Rd
Ste F
Riverhead, NY 11901
Phone (516) 982-2777

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1982904991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAIN RD",
            "address_2": "STE F",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-288-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAIN RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-288-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWOSKIN",
        "first_name": "ANNE",
        "middle_name": "VASILAS",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "300629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.