Individual provider Active NPI

Antoinette Natalie Massiah

  • Prosthetist
  • Brooklyn, NY
National Provider Identifier
1073128393
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
AEC2001101 Issued in NY
Practice address
1246 Sterling PL
Brooklyn, NY 11213-2719
Phone
(347) 564-2739
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X AEC2001101 NY Primary

Addresses

Primary practice location

1246 Sterling PL
Brooklyn, NY 11213-2719

Mailing address

1246 Sterling PL
Brooklyn, NY 11213-2719
Phone (347) 564-2739

Other practice location 1

1246 Sterling Pl
Brooklyn, NY 11213-2719
Phone (347) 564-2739

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brooklyn Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AEC2001101NYMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1073128393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132719",
            "telephone_number": "347-564-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132719",
            "telephone_number": "347-564-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1246 Sterling Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112132719",
            "country_code": "US",
            "telephone_number": "347-564-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSIAH",
        "first_name": "ANTOINETTE",
        "middle_name": "NATALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NY",
            "license": "AEC2001101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1246 Sterling Pl",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112132719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.