Active NPI
Anthony Vintzileos
- Maternal & Fetal Medicine Physician
- Mineola, NY
National Provider Identifier
1538234612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MA36922
- Practice address
- 120 Mineola Blvd
Suite 100
Mineola, NY 11501-4064 - Phone
- (516) 663-3010
- Fax
- (516) 663-3026
- NPI assigned
- Nov 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MA36922 | NJ | Primary |
Addresses
Primary practice location
120 Mineola Blvd
Suite 100
Mineola, NY 11501-4064
Mailing address
120 Mineola Blvd
Suite 100
Mineola, NY 11501-4064
Phone (516) 663-3010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02921837 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avintzileos222177@nyumc.direct-ci.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA36922 | NJ | MD | Maternal & Fetal Medicine Physician |
Interoperability endpoints
- avintzileos222177@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1538234612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"address_2": "SUITE 100",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014064",
"telephone_number": "516-663-3010",
"fax_number": "516-663-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"address_2": "SUITE 100",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014064",
"telephone_number": "516-663-3010",
"fax_number": "516-663-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINTZILEOS",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "MA36922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02921837",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avintzileos222177@nyumc.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 Mineola Blvd",
"address_2": "Suite 100",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115014064",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.