Darrick E Antell, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

161860 Issued in NY

Practice address

850 Park Ave
New York, NY 10075-1857

Phone

(212) 988-4040

Fax

(212) 988-0527

NPI assigned

Dec 8, 2006

Last updated

Feb 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 21, 2017 through Jun 21, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• 850 Park Surgical

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  • New York, NY
  • NPI 1376881045
  Authorized official Same address or phone
• Manhattan Reconstructive Surgery PC

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  Authorized official Same address or phone
• Ny East Side Surgery, PC

  • Specialist
  • New York, NY
  • NPI 1164965224
  Authorized official Same address or phone
• Nyc Reconstructive Surgery, PC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1548508963
  Authorized official Same address or phone

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1669531331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARSONAGE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068303937",
            "telephone_number": "203-869-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751857",
            "telephone_number": "212-988-4040",
            "fax_number": "212-988-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELL",
        "first_name": "DARRICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "161860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Antar, LCSW
• Madelin Clare Antaya
• Nadav Antebi-Gruszka, PHD, MHC-LP
• Honey Antelis, RPH
• Craig Antell, D.O.
• Leonardo Francisco Antelo, MD
• Todd Joseph Antenucci, D.O.
• James Edward Antes, PA-C
• Nishanthi Anthonipillai, MA
• Emily Nicole Anthonisen

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.