Organization Active NPI

Arthritis of Cornwall PLLC

  • Specialist
  • New City, NY
National Provider Identifier
1215253513
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
219104 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.