Individual provider Active NPI

David Jeffrey Antell, D.O.

  • Plastic Surgery Physician
  • Woodbury, NY
National Provider Identifier
1588734735
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
193121 Issued in NY
Practice address
143 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Phone
(516) 390-8888
Fax
(516) 364-4767
NPI assigned
Nov 8, 2006
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 193121 NY Primary

Addresses

Primary practice location

143 Froehlich Farm Blvd
Woodbury, NY 11797-2906

Mailing address

143 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Phone (516) 390-8888

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
I20051206001050 NY Practitioner - Plastic and Reconstructive Surgery 2567482417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Phone (516) 390-8888

247 3Rd Ave
Suite 502
New York, NY 10010-7455
Phone 21267307887455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.81 of 100Reported as group
Quality
99.61
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193121NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Stuart R Levine Dermatology and Dermatologic Surgery PC CurrentSince Feb 1, 2024 Accepting new patients
David J. Antell, D.O, PC CurrentSince Oct 1, 2005 Accepting new patients
Rockville Dermatology, PC CurrentSince Feb 1, 2024 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery CurrentSince Feb 1, 2024 Accepting new patients
Henry Ferstenberg, MD PC PastSince Jun 20, 2005 Accepting new patients
Long Island Medical & Cosmetic Dermatology, PC PastSince Nov 1, 2004 Accepting new patients

Locations

1717 86th St
Brooklyn, NY 11214
Phone (718) 331-3122

400 S Oyster Bay Rd
Ste 200
Hicksville, NY 11801
Phone (516) 390-8888

247 3rd Ave
Rm 502
New York, NY 10010
Phone (212) 213-0800

2000 N Village Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 763-1717

143 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 390-8888

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1588734735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972906",
            "telephone_number": "516-390-8888",
            "fax_number": "516-364-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972906",
            "telephone_number": "516-390-8888",
            "fax_number": "516-364-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELL",
        "first_name": "DAVID",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "193121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.