Active NPI
Antonio Numa Sr.
- Physician Assistant
- Hewlett, NY
National Provider Identifier
1144870841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 442-P.A.
- Practice address
- 5 Fiesta CT
Hewlett, NY 11557-1001 - Phone
- (347) 393-0307
- NPI assigned
- Sep 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 442-PA | PR | |
| Physician Assistant | 363A00000X | 442-P.A. | PR | Primary |
Addresses
Primary practice location
5 Fiesta CT
Hewlett, NY 11557-1001
Mailing address
5 Fiesta CT
Hewlett, NY 11557-1001
Phone (516) 812-9281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442-PA | Other | NY | OTHER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | antonionumamd2006@hotmail.com | ||
| Direct Messaging Address | antonionumamd2006@hotmail.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 442-P.A. | PR | MD | Physician Assistant |
| 442-PA | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1144870841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FIESTA CT",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571001",
"telephone_number": "516-812-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIESTA CT",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571001",
"telephone_number": "347-393-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUMA",
"first_name": "ANTONIO",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-14",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "442-PA",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "442-P.A.",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "442-PA",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "antonionumamd2006@hotmail.com",
"affiliation": "N",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "5 Fiesta Ct",
"city": "Hewlett",
"state": "NY",
"country_code": "US",
"postal_code": "115571001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "antonionumamd2006@hotmail.com",
"affiliation": "N",
"address_1": "5 Fiesta Ct",
"city": "Hewlett",
"state": "NY",
"country_code": "US",
"postal_code": "115571001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hewlett, NY
- NM & CB Enterprises LLC
- North Shore Hematology/Oncology Associates PC
- North Shore Long Island Jewish Healthcare Inc.
- North Shore Medical Group of the Mount Sinai School of Medicine
- Robert Samuel Nuba, M.D.
- Deanna M Nus, OD
- Myrna K. Nussbaum, M.D.
- Natalya Ogievetsky, M.D.
- Jeffrey Neal Olin, MD
- Charles Oliver
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.