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

Anthony Rosalia

Individual provider Medical Physician Assistant · NPI 1366831190

Anthony Rosalia is a Physician Assistant in Port Jefferson Station, New York. Qualified in 1997, 29 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4724 Nesconset Hwy
Port Jefferson Station, NY 11776-2580
Phone: (631) 474-5900
Fax: (631) 828-1946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7 S Jersey Ave, East Setauket, NY 11733-2065 — (631) 689-2700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006249 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 006249 (NY)

Record details

NPI number1366831190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2015
Last updated in NPPESNovember 26, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station