Ny East Side Surgery, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

CERT# 1589 Issued in NY

Legal business name

NY EAST SIDE SURGERY, PC

Practice address

850 Park Ave
New York, NY 10075-1845

Phone

(212) 988-4040

NPI assigned

Nov 22, 2016

Last updated

Nov 22, 2016By 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

Darrick E. Antell, M.D.NPI 1669531331

Title

Medical Director

Phone

(212) 988-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Darrick E Antell, M.D.

  • Specialist
  • New York, NY
  • NPI 1669531331
  Authorized official Same address or phone

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1164965224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751845",
            "telephone_number": "212-988-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY EAST SIDE SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "ANTELL",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-988-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERT# 1589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC.",
            "identifier": "CERT# 1589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ny Downtown Faculty Practice Opd
• Ny Downtown Hospital
• Ny Downtown Hospital Radiology Faculty Practice
• Ny Downtown OB GYN Associates
• Ny East Acupuncture PC
• Ny Endovascular Center LLC
• Ny Eye & Ear Infirmary Ophthalmology Associates, P.C.
• Ny Eye Care and Surgery Specialist P.C.
• Ny First Ave Corporation (New York City Pharmacy)
• Ny Foundling

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.