MR. ANTHONY GERARD CONRAD JR. P.A
NPI 1063723666
Physician Assistant - Surgical in Staten Island, NY

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Nov 24, 2020 (2 updates tracked since 2020).

About Mr. Anthony Gerard Conrad Jr. P.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY GERARD CONRAD JR. P.A (NPI 1063723666) is an individual surgical provider in Staten Island, New York, licensed in New York (014125) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1063723666
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ANTHONY GERARD CONRAD JR.Credential: P.A
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address16 Spruce Meadows DrMonroe Township, NJ 08831-3103
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2010
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1063723666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in NY · 014125 Licensed in NY · PENDING
475 SEAVIEW AVE, Staten Island, NY 10305

Secondary Practice Location 1

Location 11111 Amsterdam AveNew York, NY 10025-1716 · Phone (212) 523-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Anthony Gerard Conrad Jr. P.a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779747902
PECOS Enrollment IDI20120619000409
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Conrad's NPI number?

The NPI number for Anthony Conrad is 1063723666. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Anthony Conrad located?

Anthony Conrad practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9000.

What is Anthony Conrad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anthony Conrad enrolled in Medicare?

Yes. Anthony Conrad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Anthony Conrad affiliated with any hospitals?

According to CMS data, Anthony Conrad is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Conrad was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.