Organization Active NPI

David J. Antell, D.O, PC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1174706592
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
DAVID J. ANTELL, D.O, PC
Practice address
329 E 18TH St
New York, NY 10003-2844
Phone
(212) 673-0788
Fax
(212) 533-8623
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. David J. Antell, D.ONPI 1588734735
Title
Owner
Phone
(212) 673-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

329 E 18TH St
New York, NY 10003-2844

Mailing address

329 E 18TH St
New York, NY 10003-2844
Phone (212) 673-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000247 NY Part B Supplier - Clinic/Group Practice 1355501073 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Woodbury, NY

National Provider Directory

National Provider Directory

Locations

247 3rd Ave
Rm 502
New York, NY 10010
Phone (212) 213-0800

143 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 390-8888

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1174706592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032844",
            "telephone_number": "212-673-0788",
            "fax_number": "212-533-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032844",
            "telephone_number": "212-673-0788",
            "fax_number": "212-533-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. ANTELL, D.O, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "ANTELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-673-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.