Antoinette Plocek Notaro MD PC

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

Organization subpart

No

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

Authorized official

Name

Dr. Antoinette Notaro, M.D.

Title

President

Phone

(631) 298-1122

Specialties & licenses 1

Addresses

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": []
}

• Janice Cecile Angelo, MSW ,LCSW-R
• Pamela Ann Babcock, LCSW
• Laura Baker, MSW
• Debra Kim Bales, M.A., C.C.C., SLP
• Barkers Pharmacy Inc.
• Barths of Mattituck Inc

• All providers in Mattituck, NY
• Medical Specialty Clinic/Center in New York

• 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.