Rose S Antilus, MD
Individual provider Active NPI Specialist · Brooklyn, NY
NPI 1982604740 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1982604740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 233379-1 (NY)
- Practice address
- 967 48TH St
Brooklyn, NY 11219-2919 - Phone
- (718) 283-3000
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MVHS Inc
Practice addresses (Care Compare)
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000
Hospital & facility affiliations
- Wynn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050930000476 | NY | Practitioner - Obstetrics/Gynecology | 0749215408 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233379-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| Huntington Hospital Dolan Family Health Center | Current |
Accepting new patients | |
| Maimonides Department of Psychiatry FPP | Past | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
300 Community Dr
Plandome, NY 11030
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
120 Hobart St
Utica, NY 13501
Phone (315) 798-1149
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
Interoperability endpoints
- rantilus31342@mvhealthsystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 233379-1 | NY | Yes |
Addresses
Primary practice location
967 48TH St
Brooklyn, NY 11219-2919
Mailing address
967 48TH St
Brooklyn, NY 11219-2919
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.