NPIMap

Organization Active NPI

Antoinette Plocek Notaro MD PC

  • Medical Specialty Clinic/Center
  • Mattituck, NY
National Provider Identifier
1235540352
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
139181 Issued in NY
Legal business name
ANTOINETTE PLOCEK NOTARO MD PC
Practice address
13405 Main Road
Mattituck, NY 11952
Phone
(631) 298-1122
Fax
(631) 298-1128
NPI assigned
May 12, 2014
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Antoinette Notaro, M.D.NPI 1922003920
Title
President
Phone
(631) 298-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 139181 NY Primary

Addresses

Primary practice location

13405 Main Road
Mattituck, NY 11952

Mailing address

PO Box 93
Mattituck, NY 11952-0093
Phone (631) 298-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1235540352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520093",
            "telephone_number": "631-298-1122",
            "fax_number": "631-298-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 MAIN ROAD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "11952",
            "telephone_number": "631-298-1122",
            "fax_number": "631-298-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOINETTE PLOCEK NOTARO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "NOTARO",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-298-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "139181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattituck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.