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Active NPI 1073636494 Individual Practitioner Male Practitioner

Anthony Demetrius Fuller , LPN

Licensed Practical Nurse • Amityville, NY

Professional Overview & Biography Verified Profile Summary

Anthony Fuller, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Amityville, NY. Practice services are available at 44 THE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

44 The Blvd

Amityville, NY 117011433

Telephone 6316088741

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Amityville, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
104 Specialists

Practicing in Amityville, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 228275

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 44 THE BLVD, AMITYVILLE, NY 117011433 (Tel: 6316088741)

📍
Updated Business Mailing Address July 08, 2007

Registered at 44 THE BLVD, AMITYVILLE, NY 117011433 (Tel: 6316088741)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANTHONY FULLER, L.P.N

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #228275 in NY)

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Initial NPI Registration & Enumeration April 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073636494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

44 The Blvd

Amityville, NY 117011433

Phone: 6316088741

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.