Individual provider Active NPI

Vera S Antonios, M.D

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1386745883
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
259265 Issued in NY
Practice address
123-125 West. 124TH Street
New York, NY 10027-4920
Phone
(212) 531-1300
Fax
(212) 849-2786
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 002533 NY
Infectious Disease Physician 207RI0200X 259265 NY Primary

Addresses

Primary practice location

123-125 West. 124TH Street
New York, NY 10027-4920

Mailing address

33 Reynal Rd
White Plains, NY 10605-3924
Phone (917) 945-9415

Other identifiers 2

IdentifierTypeStateIssuer
02757133MedicaidNY
207SE34691OtherNYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000013 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 7214829464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002533NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Jan 4, 2016 Accepting new patients
Shlomit Levy Past Accepting new patients
Harlem United Com AIDS Ctr Ai Past Accepting new patients

Locations

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: vera.antonios@uram.eclinicaldirectplus.com
  • Direct secure messaging: vantonios752040@nychhc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1386745883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 REYNAL RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053924",
            "telephone_number": "917-945-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123-125 WEST. 124TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274920",
            "telephone_number": "212-531-1300",
            "fax_number": "212-849-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIOS",
        "first_name": "VERA",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "002533",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "259265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02757133",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "207SE34691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.