Organization Active NPI

Jacques C. Antoine Physician, P.C.

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1104241116
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JACQUES C. ANTOINE PHYSICIAN, P.C.
Practice address
1718 Pitkin Ave
Brooklyn, NY 11212-6604
Phone
(718) 485-9869
Fax
(718) 485-4213
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Jacques Antoine, M.D.
Title
Owner/Physician
Phone
(718) 485-9869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1718 Pitkin Ave
Brooklyn, NY 11212-6604

Mailing address

1718 Pitkin Ave
Brooklyn, NY 11212-6604
Phone (718) 485-9869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1104241116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126604",
            "telephone_number": "718-485-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126604",
            "telephone_number": "718-485-9869",
            "fax_number": "718-485-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES C. ANTOINE PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "718-485-9869",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 27, 2014; 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.