John Andrew Fantl, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

1988811 Issued in NY

Practice address

10 Union SQ E FRNT 2E
New York, NY 10003-3314

Phone

(212) 844-8521

NPI assigned

Feb 8, 2006

Last updated

May 27, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New York University Medical Center

  dba NYUMC OB/GYN Associates

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1629068101
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1841263225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2428",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952428",
            "telephone_number": "212-844-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E FRNT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTL",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "1988811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter C Fanti, M.D.
• Enzo F Fantin-Yusta, MD
• Alyssa Jane Fantini, AGACNP
• Christopher Fantini, CP, MSPT
• Gary Aldo Fantini, M.D.
• Dana Fantuzzi
• Jordyn Fantuzzi
• Alexandra Fanuele, M.S.
• Rose-Marie Faotto, PT
• Faraj M Faour, MD

• Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.