Individual provider Active NPI

Harry Pantelides, M.D.

  • Otolaryngology Physician
  • Brooklyn, NY
National Provider Identifier
1063643641
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
254266 Issued in NY
Practice address
170 Broadway
Brooklyn, NY 11211-8755
Phone
(718) 618-9181
NPI assigned
Jul 30, 2009
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 254266 NY Primary

Addresses

Primary practice location

170 Broadway
Brooklyn, NY 11211-8755

Mailing address

PO Box 2625
New York, NY 10009-8925
Phone (914) 222-0828

Other practice location 1

3016 30th Dr Fl 4
Astoria, NY 11102-1874
Phone (718) 225-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000102 NY Practitioner - Otolaryngology 3678728516 Reassigns benefits to 1 organization
Practice locations: Astoria, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT of Brooklyn PCGroup PAC ID 4486989845, 2 clinicians

Practice addresses (Care Compare)

170 Broadway
Brooklyn, NY 11211-8755
Phone (718) 618-9181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
ENT of Brooklyn PC Otolaryngology CurrentSince Sep 18, 2018 Accepting new patients
Gregory Levitin MD PC Otolaryngology Past Accepting new patients

Locations

445 77th St
Brooklyn, NY 11209
Phone (718) 238-4488

3074 31st St
Fl 5
Long Island City, NY 11102
Phone (718) 225-6100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hpantelides@direct.nyee-provider.mountsinai.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDDHBD/Endpoint/IDDHBD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1063643641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098925",
            "telephone_number": "914-222-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118755",
            "telephone_number": "718-618-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 30th Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111021874",
            "country_code": "US",
            "telephone_number": "718-225-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTELIDES",
        "first_name": "HARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "254266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.