IndividualActive
John Anderson, MD
NPI 1114972338 · Family Medicine Physician · Port Ewen, NY
John Anderson, MD is a Family Medicine Physician provider in Port Ewen, NY (NPI 1114972338).
Provider details
- NPI number
- 1114972338
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 153823 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 Broadway
Port Ewen, NY 12466-7769
Phone: (845) 331-2355
Fax: (845) 331-1184
Street-level locationGet directions
Mailing address
279 Main St
New Paltz, NY 12561-1623
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2014-11-11
Frequently asked questions
- What is John Anderson's NPI number?
- John Anderson's National Provider Identifier (NPI) is 1114972338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Anderson's specialty?
- John Anderson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Anderson located?
- John Anderson's practice location on file with NPPES is 213 Broadway, Port Ewen, NY 12466-7769.
- What is John Anderson's phone number?
- The practice phone number listed in the NPPES registry for John Anderson is (845) 331-2355.
- Is John Anderson's NPI active?
- Yes — John Anderson's NPI (1114972338) is active in the NPPES registry as of the last update on 2014-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.