Individual provider Active NPI

Maria Antonello

  • Specialist
  • Carle Place, NY
National Provider Identifier
1467286286
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2592486 Issued in NY
Practice address
32 8TH St
Carle Place, NY 11514-1330
Phone
(347) 272-4996
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
2592486NYMDSpecialist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2592486 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

32 8TH St
Carle Place, NY 11514-1330

Mailing address

32 8TH St
Carle Place, NY 11514-1330
Phone (347) 272-4996

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2024.

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1467286286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 8TH ST",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141330",
            "telephone_number": "347-272-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 8TH ST",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141330",
            "telephone_number": "347-272-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLO",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2592486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.