Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Dewar, NP

Individual provider Registered Nurse · NPI 1619329166

Anthony Dewar, NP is a Nurse Practitioner in Coram, New York. Qualified in 2021, 5 years ago. Practices with Welllife Network Inc, a 17-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403642 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 692184-1 (NY)

Record details

NPI number1619329166
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 8, 2016
Last updated in NPPESDecember 27, 2022
Certification dateDecember 3, 2022
Mailing address3600 Route 112, Coram, NY 11727-4116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Welllife Network Inc — 17 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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