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

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: July 19, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

Social Worker
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Art Therapist
3600 ROUTE 112
CORAM, NY 11727
Social Worker (Clinical)
3600 ROUTE 112
CORAM, NY 11727
Nurse Practitioner (Psychiatric/Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Behavior Analyst
3600 ROUTE 112
CORAM, NY 11727
Social Worker (Clinical)
3600 ROUTE 112
CORAM, NY 11727
Nurse Practitioner (Psychiatric/Mental Health)
3600 ROUTE 112
CORAM, NY 11727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619329166, enumerated as an "individual" on July 08, 2016.

The provider is located at 3600 ROUTE 112 CORAM, NY 11727 and the phone number is (631) 920-8672.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.