Individual provider Active NPI

Antoinette Gandionco-Sabatino, PA

  • Medical Physician Assistant
  • Brentwood, NY
National Provider Identifier
1720245566
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010491-1 Issued in NY
Practice address
600 Suffolk Ave Ste C
Brentwood, NY 11717-4311
Phone
(631) 273-3712
Fax
(631) 273-3745
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010491-1 NY Primary

Addresses

Primary practice location

600 Suffolk Ave Ste C
Brentwood, NY 11717-4311

Mailing address

600 Suffolk Ave Ste C
Brentwood, NY 11717-4311
Phone (631) 273-3712

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010491NYMDSpecialist
010491-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Medical Care LLC PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1720245566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUFFOLK AVE STE C",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174311",
            "telephone_number": "631-273-3712",
            "fax_number": "631-273-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUFFOLK AVE STE C",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174311",
            "telephone_number": "631-273-3712",
            "fax_number": "631-273-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDIONCO-SABATINO",
        "first_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010491-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.