Organization Active NPI

Ewald J. Antoine MD PC

  • Specialist
  • Elmont, NY
National Provider Identifier
1043591746
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167153 Issued in NY
Legal business name
EWALD J. ANTOINE MD PC
Practice address
1546 Dutch Broadway
Elmont, NY 11003-4522
Phone
(516) 256-0129
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Ewald Antoine
Title
MD
Phone
(516) 644-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 167153 NY Primary

Addresses

Primary practice location

1546 Dutch Broadway
Elmont, NY 11003-4522

Mailing address

1365 Leonard Way
Valley Stream, NY 11580-1556

National Provider Directory

National Provider Directory

Locations

3602 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 226-4300

100 N Village Ave
Ste 15
Rockville Ctr, NY 11570
Phone (516) 678-8700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1043591746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 LEONARD WAY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034522",
            "telephone_number": "516-256-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWALD J. ANTOINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "EWALD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-644-6895"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "167153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.