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JOHN A ANDERSON MD
NPI 1114972338
Family Medicine in Port Ewen, NY

Active since May 24, 2006
213 BROADWAY, PORT EWEN, NY 12466(845) 331-2355(845) 331-1184 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John A Anderson Md NPPES

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

JOHN A ANDERSON MD (NPI 1114972338) is an individual family medicine provider in Port Ewen, New York, licensed in New York (153823) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1114972338
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN A ANDERSONCredential: MD
Location Address213 BROADWAYPort Ewen, NY 12466-7769
Mailing Address279 Main St, Suite 204New Paltz, NY 12561-1623 · (845) 255-3046 · Fax (845) 255-0236
Phone(845) 331-2355
Fax(845) 331-1184
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 11, 2014
✔ NPI 1114972338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 153823
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
213 BROADWAY, Port Ewen, NY 12466
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Other Identifiers 3

Medicaid00849270NY
Medicare PIN27D0320581NY
Medicare UPINA61721NY

Other Providers at the Same Location NPPES

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

THE INSTITUTE FOR FAMILY HEALTH
Family Medicine
213 BROADWAY
PORT EWEN, NY 12466
Ulster County (845) 331-2355

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 John Anderson's NPI number?

The NPI number for John Anderson is 1114972338. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is John Anderson located?

John Anderson practices at 213 Broadway, Port Ewen, NY 12466. The listed phone number is (845) 331-2355.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Anderson was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.