Matthew Antalek, D.O.
Individual provider Active NPI Infectious Disease Physician · Williamsville, NY
NPI 1023066065 · NPPES record last updated Sep 8, 2008
Key facts
- NPI
- 1023066065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 170215-1 (NY)
- Practice address
- 1829 Maple Rd
Suite 202
Williamsville, NY 14221-2700 - Phone
- (716) 204-5933
- Fax
- (716) 204-5934
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061031000392 | NY | Practitioner - Infectious Disease | 8820033228 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170215-1 | NY | MD | Infectious Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 170215-1 | NY | Yes |
Addresses
Primary practice location
1829 Maple Rd
Suite 202
Williamsville, NY 14221-2700
Mailing address
1829 Maple Rd
Suite 202
Williamsville, NY 14221-2700
Phone (716) 204-5933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01091923 | Medicaid | NY |
Other providers in Williamsville, NY
- Jessica Lynn Anibaldi
- Annmarie Kenny RN NP in Psychiatry PLLC
- Annmarie Kenny, LLC
- Maura Anson
- Anne Anstead Anstead
- Moira Grace Antalek
- Kenneth David Anthone
- Anthony M. Leone, MD, PC
- Maxwell Boasiako Antwi
- Stephen Tofano Anzalone
All providers in Williamsville, NY · Infectious Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.