Ewald J Antoine, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00167153 Issued in NY

Practice address

108-19 Rockaway Blvd
Ozone Park, NY 11420

Phone

(718) 845-2620

Fax

(718) 845-9380

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Care of Kingsborough PC

  • Geriatric Psychiatry Physician
  • Brooklyn, NY
  • NPI 1982949624
  NPD (past) Authorized official
• Sunlight Medical and Psychiatric Services P.C

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1346519220
  NPD (past) Authorized official
• East Side Psychiatric Services, PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1548208226
  NPD (past)
• Kent D Shinbach MD PC

  • Legal Medicine
  • New York, NY
  • NPI 1578521456
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013074525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 LEONARD WAY",
            "city": "N.VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "718-845-2620",
            "fax_number": "718-845-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-19 ROCKAWAY BLVD",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-845-2620",
            "fax_number": "718-845-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "EWALD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "00167153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00167153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Segundo Amarga
• Stephanie E Ambrose-Flaherty, FNP
• Andrea Health Care LLC
• Mary Andrea, DPM
• Isabel Annibale, BCBA
• Chrisoula Marie Antonopoulos, LMSW
• Ap Diagnostic Medical, P.C.
• Andre Apparicio
• Christopher Arias, M.S.ED.
• Aris Diagnostic Medical, PLLC

• Psychiatry Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.