Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

John A Anderson, MD

Individual provider Family Medicine Physician · NPI 1114972338

John A Anderson, MD is a Family Medicine Physician in Port Ewen, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

213 Broadway
Port Ewen, NY 12466-7769 Not confirmed with CMS for 11 years — call before visiting
Phone: (845) 331-2355
Fax: (845) 331-1184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 153823 (NY)

Record details

NPI number1114972338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESNovember 11, 2014