Active NPI
Jose K Antony, MD
- Cardiovascular Disease Physician
- Durham, NC
National Provider Identifier
1316913601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 28834
- Practice address
- 2511 Old Cornwallis Rd Ste 200
Durham, NC 27713-1869 - Phone
- (919) 932-5700
- Fax
- (919) 933-6881
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 28834 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 28834 | NC |
Addresses
Primary practice location
2511 Old Cornwallis Rd Ste 200
Durham, NC 27713-1869
Mailing address
2511 Old Cornwallis Rd Ste 200
Durham, NC 27713-1869
Phone (919) 932-5700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11601 | Other | NC | BCBS NUMBER |
| 8911601 | Medicaid | NC | |
| 110137974 | Other | NC | MEDICARE RAILROAD NUMBER |
| 28834 | Other | NC | DR ANTONY LIC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1316913601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 OLD CORNWALLIS RD STE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131869",
"telephone_number": "919-932-5700",
"fax_number": "919-933-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 OLD CORNWALLIS RD STE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131869",
"telephone_number": "919-932-5700",
"fax_number": "919-933-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONY",
"first_name": "JOSE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "28834",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "28834",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "11601",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911601",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD NUMBER",
"identifier": "110137974",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR ANTONY LIC NUMBER",
"identifier": "28834",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.