MR. ANTHONY MICHAEL DEDONATIS PMHNP-BC, RN-BC
NPI 1093261398
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Mr. Anthony Michael Dedonatis Pmhnp-bc, Rn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANTHONY MICHAEL DEDONATIS PMHNP-BC, RN-BC (NPI 1093261398) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (402061) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Anthony Michael Dedonatis Pmhnp-bc, Rn-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Anthony Dedonatis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 135 clinicians in this Medicare group
Bronxville, NY 10708
- Reassigned Medicare billing, New York enrollment
- 531 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
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 Dedonatis's NPI number?
The NPI number for Anthony Dedonatis is 1093261398. It was assigned to this individual provider in the NPPES registry on August 28, 2016. The provider is also known as Mr. Antony Michael Dedonatis Pmhnp-Bc, Rn-Bc.
Where is Anthony Dedonatis located?
Anthony Dedonatis practices at 420 E 76th St, New York, NY 10021. The listed phone number is (212) 434-5301.
What is Anthony Dedonatis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Anthony Dedonatis enrolled in Medicare?
Yes. Anthony Dedonatis 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.
Which organizations bill Medicare for Anthony Dedonatis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Dedonatis reassigns Medicare benefits to 2 organizations: New York Gracie Square Hospital Inc (New York, NY) and Lawrence Medical Associates, PC (Bronxville, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Dedonatis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anthony Dedonatis was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Anthony Michael Dedonatis, PMHNP-BC, RN-BC · NPI 1093261398
Psychiatric/Mental Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 28, 2016.
## Identity
- **NPI:** 1093261398 (Entity type: Individual)
- **Enumerated:** August 28, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 402061 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 E 76TH ST, New York, NY 10021-3396
- **Phone:** (212) 434-5301
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New York Gracie Square Hospital Inc (NPI 1215911946, New York, NY); Lawrence Medical Associates, PC (NPI 1497260806, Bronxville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093261398) · Data from the CMS NPPES public registry.