Anthony J Antonucci, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

170689 Issued in NY

Practice address

830 Park Ave
Carillon Nursing and Rehabilitation Center
Huntington, NY 11743-4543

Phone

(631) 827-6689

Fax

(631) 673-4936

NPI assigned

Aug 30, 2006

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• VNS and Hospice of Suffolk, Inc Hospice, East Northport, NY, CCN 331535
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Carillon Nursing and Rehabilitation Center Nursing home, Huntington, NY, CCN 335286

Merit-based Incentive Payment System (MIPS)

Final score

26.8 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anthony J Antonucci M D P C

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1083751879
  Medicare reassignment NPD Authorized official
• Carillon Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Huntington, NY
  • NPI 1265429856
  NPD (past)
• Paljr LLC

  dba East Neck Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • West Babylon, NY
  • NPI 1235138165
  NPD (past)

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

• Carillon Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Huntington, NY
  • NPI 1265429856

  Nursing home

  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• Visiting Nurse Service and Hospice of Suffolk Inc.

  • Community Based Hospice Care Agency
  • Northport, NY
  • NPI 1184652018
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1811007743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HENNESSEY DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433824",
            "telephone_number": "631-827-6689",
            "fax_number": "631-673-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "address_2": "CARILLON NURSING AND REHABILITATION CENTER",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434543",
            "telephone_number": "631-827-6689",
            "fax_number": "631-673-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONUCCI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01048177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Angotta, LMHC-D
• Christopher Anselmi, MD
• Anthony J Antonucci M D P C
• John Antinora, D.C.
• Tiffany Lynn Antonik, M.A.
• Jalil Anwar, MD
• Keeyse Aparicio Morales
• Paul S Apfel, D.D.S.
• Kimberly Lee Apolinar, P.A.
• Maryann Aragona

• Internal Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.

Verify at the official NPI Registry.