ANTHONY DEWAR NP
NPI 1619329166
Nurse Practitioner - Psychiatric/Mental Health in Coram, NY

Q: What is Anthony Dewar's NPI number?

The NPI number for Anthony Dewar is 1619329166. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Q: What is Anthony Dewar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Dewar was last updated on December 27, 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.

Active since July 08, 2016PECOS Enrolled

3600 ROUTE 112, CORAM, NY 11727(631) 920-8672 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2022, Dec 17, 2021, Sep 13, 2021 (3 updates tracked since 2021).

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About Anthony Dewar Np NPPES

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

ANTHONY DEWAR NP (NPI 1619329166) is an individual psychiatric/mental health provider in Coram, New York, licensed in New York (403642) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619329166

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameANTHONY DEWARCredential: NP

Location Address3600 ROUTE 112Coram, NY 11727-4116

Mailing Address3600 Route 112Coram, NY 11727-4116 · (631) 920-8672

Phone(631) 920-8672

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 8, 2016

Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration

NPPES CertifiedDecember 3, 2022

✔ NPI 1619329166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 403642

Also ListedRegistered NurseTaxonomy 163W00000X · License 692184-1 (NY)

3600 ROUTE 112, Coram, NY 11727

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Dewar Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618345331

PECOS Enrollment IDI20221130000147

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Dewar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Welllife Network Inc.

Same address

Case Management

3600 ROUTE 112
Coram, NY 11727

Reassigned Medicare billing, New York enrollment
49 clinicians in this Medicare group

NPI 1386817906 (631) 920-8302

Arck Nurse Practitioner In Psychiatry PLLC

11 mi

Psychiatric/Mental Health

111 SMITHTOWN BYP STE 122
Hauppauge, NY 11788

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1700464682 (516) 568-7032

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

61 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11727 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RAQUEL FERNANDES

Counselor (Mental Health)