ANTHONY BOLTON (NPI# 1275653032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275653032 |
| Entity Type | Individual |
| Full Name | ANTHONY BOLTON |
| Credential | PHD |
| Practice Address |
464 Main St Suite B Port Jefferson NY 11777-2814 |
| Mailing Address |
170 Route 25a Rocky Point NY 11778-8750 |
| Practice Telephone | 6313314377 |
| Practice Fax Number | 6313314459 |
| Mailing Telephone | 6313314437 |
| Mailing Fax Number | 6313314459 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0113678 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588980395 | Anthony Bolton | Community Health Worker | 120 Page St, San Francisco, CA 94102-5811 | 2010-04-19 |
| Street Address |
464 MAIN ST SUITE B |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461490 | Sm Eshwak Omam | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2019-11-11 |
| 1730617101 | Fatema Afrose Elias | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2017-05-30 |
| 1477962710 | Jennifer Tassell | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2014-08-12 |
| 1619299880 | Robert Brenner | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2010-02-16 |
| 1437389582 | Macro Medical Diagnostics, PC | Psychiatry & Neurology | 464 Main St, Suite B, Port Jefferson, NY 11777-2814 | 2009-07-23 |
| 1235309675 | Olga William Morkos | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2008-02-29 |
| 1366546129 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 464 Main St, Port Jefferson, NY 11777-2814 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366514978 | Robert Michael Woznicki | Psychiatry & Neurology | 640 Belle Terre Road, Bldg J 3, Port Jefferson, NY 11777 | 2006-11-15 |
| 1407207830 | Tamir Aldad | Psychiatry & Neurology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-06-27 |
| 1912226069 | Ateaya A Lima | Psychiatry & Neurology | 75 N Country Rd, Port Jefferson, NY 11777 | 2010-05-27 |
| 1497915995 | Jenna L Taglienti | Psychiatry & Neurology | 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777-2130 | 2008-06-10 |
| 1437316148 | Syed K Hussaini | Psychiatry & Neurology | 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777-2130 | 2008-05-20 |
| 1780857276 | George G Fairey | Psychiatry & Neurology | 1227 Main St Ste 202, Port Jefferson, NY 11777-2227 | 2008-04-07 |
| 1285813667 | Robert M Woznicki Md PC | Psychiatry & Neurology | 640 Belle Terre Rd, Bldg J3, Port Jefferson, NY 11777-1936 | 2007-11-01 |
| 1154544567 | Sameh Wahba | Psychiatry & Neurology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-11 |
| 1982750469 | Alain Kruh | Psychiatry & Neurology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-26 |
| 1962557629 | Jagdish Gidwani | Psychiatry & Neurology | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-01-24 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.