Active NPI
Achille Antoine, MD,PSY.D,PA-C
- Physician Assistant
- East Elmhurst, NY
National Provider Identifier
1457487498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008537
- Practice address
- 1111 Hazen St
East Elmhurst, NY 11370-1377 - Phone
- (718) 496-7964
- Fax
- (718) 496-7964
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008537 | NY | Primary |
Addresses
Primary practice location
1111 Hazen St
East Elmhurst, NY 11370-1377
Mailing address
PO Box 100051
Brooklyn, NY 11210-0051
Phone (718) 496-7964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008537 | Other | NY | LICENSE 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008537 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1457487498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100051",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112100051",
"telephone_number": "718-496-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HAZEN ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701377",
"telephone_number": "718-496-7964",
"fax_number": "718-496-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOINE",
"first_name": "ACHILLE",
"name_prefix": "Dr.",
"credential": "MD,PSY.D,PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "008537",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.