Anthony John Massimillo (NPI# 1043277692, PAC ID# 7012922826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1043277692 |
| PAC ID by PECOS | 7012922826 |
| Professional Enrollment ID | I20110317000062 |
| Full Name | Anthony John Massimillo |
| Organization Legal Name | LONG ISLAND GASTROENTEROLOGY, PC |
| Address |
901 Stewart Ave Suite 235 Garden City NY 11930-4823 |
| Phone Number | 5167425252 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9234028978 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330214 | NEW YORK UNIVERSITY LANGONE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 | 5167425252 | LONG ISLAND GASTROENTEROLOGY, PC |
| Organization Legal Name | LONG ISLAND GASTROENTEROLOGY, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sushil Kumar Sharma | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
| Joseph L Tromba | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
| Street Address |
901 STEWART AVE SUITE 235 |
| City | GARDEN CITY |
| State | NY |
| Zip | 11930-4823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lotika Singh | Dermatology | Garden City Dermatology, PC | 901 Stewart Ave, Suite 201, Garden City, NY 11530-4883 |
| Ashok N Vaswani | Endocrinology | 901 Stewart Ave, Suite 204, Garden City, NY 11530-4883 | |
| Philip Fortunato Spadafora | Internal Medicine | 901 Stewart Ave, Suite 275, Garden City, NY 11530-4889 | |
| Sushil Kumar Sharma | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
| Sridevi Bhumi | Gastroenterology | Sri Gastroenterology PC | 901 Stewart Ave, Suite 260, Garden City, NY 11530-4894 |
| Steven M Schoenbart | Optometry | Schoenbart Vision Care-optometry,p.c. | 901 Stewart Ave, Suite 202, Garden City, NY 11530-4883 |
| Eva Sahay | Neurology | 901 Stewart Ave, Suite 220, Garden City, NY 11530-4885 | |
| Paula I Handell | Optometry | Schoenbart Vision Care-optometry,p.c. | 901 Stewart Ave, Suite 202, Garden City, NY 11530-4883 |
| Joseph L Tromba | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
| Theodore Daly | Dermatology | Garden City Dermatology, PC | 901 Stewart Ave, Suite 201, Garden City, NY 11530-4883 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Charles Defraia | Internal Medicine | Meeting House Lane Medical Practice PC | 518 Montauk Hwy, Suite 102, Amagansett, NY 11930 |
| Gabriella Kovi | Anesthesiology | Meeting House Lane Medical Practice PC | 518 Montauk Hwy, Suite 102, Amagansett, NY 11930 |
| James Sherwood | Psychologist, Clinical | 518 Montauk Hwy, Amagansett, NY 11930-0030 | |
| Sandra Albukrek | Clinical Social Worker | 518 Montauk Hwy, Amagansett, NY 11930-2110 | |
| Randi Cherill | Physical Therapy | 518 Montauk Hwy, Suite 101, Amagansett, NY 11930-2110 | |
| Shawn Cannon | Internal Medicine | 518 Montauk Hwy, Amagansett, NY 11930-2110 | |
| Erik Baekeland Peterson | Physical Therapy | Erik Peterson Physical Therapy PC | 100 Montauk Hwy, Amagansett, NY 11930-2835 |
| Brenden C Lenahan | Physical Therapy | Erik Peterson Physical Therapy PC | 100 Montauk Hwy, Amagansett, NY 11930-2835 |
| City | GARDEN CITY |
| Zip Code | 11930 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | GARDEN CITY + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Anthony John Massimillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.