Active NPI
David Jeffrey Antell, D.O.
- Plastic Surgery Physician
- Woodbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 193121
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 99.61
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 13 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193121 | NY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Current | Accepting new patients | |
| David J. Antell, D.O, PC | Current | Accepting new patients | |
| Rockville Dermatology, PC | Current | Accepting new patients | |
| Laserderm Dermatology & Cosmetic Laser Surgery | Current | Accepting new patients | |
| Henry Ferstenberg, MD PC | Past | Accepting new patients | |
| Long Island Medical & Cosmetic Dermatology, PC | Past | 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.
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1174706592
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1053622464
-
- Dermatology Physician
- Rockville Centre, NY
- NPI 1356349153
-
- Dermatopathology Physician
- Smithtown, NY
- NPI 1942150131
-
- Surgery Physician
- New York, NY
- NPI 1285800789
-
- Specialist
- Huntington, NY
- NPI 1922017797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.