Individual provider Active NPI

Marilyn Gail Antokoletz, M.D.

  • Pediatrics Physician
  • Manhasset, NY
National Provider Identifier
1427334085
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
096726 Issued in NY
Practice address
32 Shelter Rock Rd
Manhasset, NY 11030-3240
Phone
(516) 365-9893
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 096726 NY Primary

Addresses

Primary practice location

32 Shelter Rock Rd
Manhasset, NY 11030-3240

Mailing address

32 Shelter Rock Rd
Manhasset, NY 11030-3240
Phone (516) 365-9893

Other names 1

  • Dr. Marilyn Antokoletz Hoffman Professional name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
096726NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1427334085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SHELTER ROCK RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303240",
            "telephone_number": "516-365-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SHELTER ROCK RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303240",
            "telephone_number": "516-365-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOKOLETZ",
        "first_name": "MARILYN",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "096726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "HOFFMAN",
            "middle_name": "ANTOKOLETZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.