Individual provider Active NPI

Mini Roy Antony

  • Family Medicine Physician
  • New City, NY
National Provider Identifier
1831814144
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F349972-01 Issued in NY
Practice address
8 Cider Mill CT
New City, NY 10956-2709
Phone
(845) 642-5401
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F349972-01 NY Primary

Addresses

Primary practice location

8 Cider Mill CT
New City, NY 10956-2709

Mailing address

8 Cider Mill CT
New City, NY 10956-2709
Phone (845) 642-5401

Other names 1

  • Miss Mini Mathew Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002317 NY Practitioner - Nurse Practitioner 9830561661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians

Practice addresses (Care Compare)

87 S Route 9W
Haverstraw, NY 10927-1700
Phone (845) 354-1212

87 S Route 9W
W Haverstraw, NY 10993-1047
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F349972-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadian Medical Health PC CurrentSince Mar 1, 2026 Accepting new patients
Genesis Medical Health PC Family Medicine CurrentSince Jan 7, 2023 Accepting new patients
Care Connect Medical P.C. Family Medicine CurrentSince Nov 27, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

87 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-5381

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

87 S Route 9W
West Haverstraw, NY 10993

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1831814144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CIDER MILL CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562709",
            "telephone_number": "845-642-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CIDER MILL CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562709",
            "telephone_number": "845-642-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "MINI",
        "middle_name": "ROY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F349972-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINI",
            "last_name": "MATHEW",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.