Antidote Ai Health of NJ PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANTIDOTE AI HEALTH OF NJ PC

Practice address

1460 Broadway
New York, NY 10036-7329

Phone

(845) 213-3504

NPI assigned

Jul 19, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Hammel McDowellNPI 1104879071

Title

Owner

Phone

(847) 770-5600

Specialties & licenses 2

Addresses

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.

• Rachel Hammel McDowell, MD

  • Emergency Medicine Physician
  • Libertyville, IL
  • NPI 1104879071
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1316510407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367329",
            "telephone_number": "845-213-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIDOTE AI HEALTH OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-09-06",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "HAMMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-770-5600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimmy Rachel Anthrayose, MPH
• Ross Anti, MSTOM, LAC
• Antidote a.I. Health of California
• Antidote a.I. Health of FL P.a.
• Antidote a.I. of Kansas
• Randy Antigua
• Eulalia Cenir Antinero, OTR/L
• Carol J Antler, LCSW
• Karen Lisa Antler, NP
• Lauren Antler, M.D.

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.