Active NPI
Arthritis of Cornwall PLLC
- Specialist
- New City, NY
National Provider Identifier
1215253513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 219104
- Legal business name
- ARTHRITIS OF CORNWALL PLLC
- Practice address
- 162 Ridge Rd
New City, NY 10956-6909 - Phone
- (347) 249-9673
- Fax
- (845) 565-4815
- NPI assigned
- Apr 12, 2010
- Last updated
- May 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Koshnaf Antar, M.D.
- Title
- Owner
- Phone
- (845) 458-4868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 219104 | NY | Primary |
Addresses
Primary practice location
162 Ridge Rd
New City, NY 10956-6909
Mailing address
21 Laurel Ave
Cornwall, NY 12518-1469
Phone (845) 458-4868
National Provider Directory
National Provider DirectoryLocations
21 Laurel Ave
Cornwall, NY 12518
Phone (845) 458-4900
5159 Route 9W
#B
Newburgh, NY 12550
Phone (845) 323-5992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1215253513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LAUREL AVE",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181469",
"telephone_number": "845-458-4868",
"fax_number": "845-565-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 RIDGE RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109566909",
"telephone_number": "347-249-9673",
"fax_number": "845-565-4815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTHRITIS OF CORNWALL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-12",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "ANTAR",
"authorized_official_first_name": "KOSHNAF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-458-4868",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "219104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.