Anthony J Antonucci M D P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

170689 Issued in NY

Legal business name

ANTHONY J ANTONUCCI M D P C

Practice address

830 Park Ave
Carillon Nursing and Rehabilitation Center
Huntington, NY 11743-4543

Phone

(631) 827-6689

Fax

(631) 673-4936

NPI assigned

Jan 31, 2007

Last updated

Jan 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony J Antonucci, MDNPI 1811007743

Title

MD

Phone

(631) 827-6689

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony J Antonucci, MD

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1811007743
  Medicare reassignment NPD Authorized official
• Jacqueline Corvino

  • Physician Assistant
  • Huntington, NY
  • NPI 1124425509
  Medicare reassignment
• Amir Herman, D.O.

  • Adult Medicine Physician
  • East Northport, NY
  • NPI 1306867494
  NPD (past)
• Aretha Nanda Persaud-Mancusi, M.D.

  • Family Medicine Physician
  • Melville, NY
  • NPI 1497861843
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1083751879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HENNESSEY DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433824",
            "telephone_number": "631-827-6689",
            "fax_number": "631-673-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "address_2": "CARILLON NURSING AND REHABILITATION CENTER",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434543",
            "telephone_number": "631-827-6689",
            "fax_number": "631-673-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J ANTONUCCI M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "ANTONUCCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-827-6689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01048177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew R. Forelli DC PC (Forelli Family Chiropractic)
• Anesthesia and Pain Management of Suffolk PC
• Joseph Angilella, LMSW
• Danielle Angotta, LMHC-D
• Christopher Anselmi, MD
• John Antinora, D.C.
• Tiffany Lynn Antonik, M.A.
• Anthony J Antonucci, MD
• Jalil Anwar, MD
• Keeyse Aparicio Morales

• Internal Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.