Individual provider Active NPI

Craig Antell, D.O.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1164546537
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2094506 Issued in NY
Practice address
57 W 57TH St
Suite 1702
New York, NY 10019-2802
Phone
(212) 757-1157
Fax
(212) 757-7197
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2094506 NY Primary

Addresses

Primary practice location

57 W 57TH St
Suite 1702
New York, NY 10019-2802

Mailing address

57 W 57TH St
Suite 1702
New York, NY 10019-2802
Phone (212) 757-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000453 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Psychiatry 7214943497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2094506NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Physical Medicine & Rehabilitation CurrentSince Mar 15, 2015 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Mar 15, 2015 Accepting new patients
Hudson Spine and Pain Medicine, PC CurrentSince Apr 1, 2023 Accepting new patients
Main St. Med Care PC Past Accepting new patients

Locations

57 W 57th St
Ste 1702
New York, NY 10019
Phone (212) 757-1157

400 E 34th St
Ste 600
New York, NY 10016
Phone (212) 263-6110

281 Broadway
Fl 2
New York, NY 10007
Phone (646) 596-7386

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: craig.antell.1@16096.direct.athenahealth.com

Organizations & group practices 4

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1164546537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 1702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-757-1157",
            "fax_number": "212-757-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 1702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-757-1157",
            "fax_number": "212-757-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELL",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "2094506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.