Individual provider Active NPI

Antonio Torres, NP

  • Family Nurse Practitioner
  • Middle Village, NY
National Provider Identifier
1114655917
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350040 Issued in NY
Practice address
6122 Fresh Pond Rd
Middle Village, NY 11379-1040
Phone
(718) 502-3000
NPI assigned
Aug 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350040 NY Primary

Addresses

Primary practice location

6122 Fresh Pond Rd
Middle Village, NY 11379-1040

Mailing address

550 Vanderbilt Ave Apt 616
Brooklyn, NY 11238-3497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221106000014 NY Practitioner - Nurse Practitioner 2961879838 Reassigns benefits to 2 organizations
I20260604001853 DC Practitioner - Nurse Practitioner 2961879838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

5505 Myrtle Ave
Ridgewood, NY 11385-3550
Phone (718) 502-9063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
350040NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Dec 24, 2024 Accepting new patients
Josef Schenker MD PC CurrentSince Dec 20, 2022 Accepting new patients

Locations

4119 Bell Blvd
Bayside, NY 11361
Phone (929) 373-4480

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

5505 Myrtle Ave
Ridgewood, NY 11385
Phone (347) 408-2387

265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270

Interoperability endpoints

  • Direct secure messaging: antonio.torres@ghuc.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1114655917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 VANDERBILT AVE APT 616",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 FRESH POND RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791040",
            "telephone_number": "718-502-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ANTONIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.