ATHANASIOS ANTONIADIS


Address: 750 Montauk Hwy, West Islip, NY 11795-4411
Phone: 6313761010

ATHANASIOS ANTONIADIS (NPI# 1730286485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730286485
Entity Type Individual
Full Name ATHANASIOS ANTONIADIS
Credential M.D.
Practice Address 750 Montauk Hwy
West Islip
NY 11795-4411
Practice Telephone 6313761010
Practice Fax Number 6313766156
Mailing Telephone 6313761010
Enumeration Date 2006-09-17
Last Update Date 2014-04-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 1831001 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY OXFORD P790338 01
NY BLUE CROSS 37K392 01

Office Location

Street Address 750 MONTAUK HWY
City WEST ISLIP
State NY
Zip Code 11795-4411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750620613 Joanne Lamonica Md PC Specialist 750 Montauk Hwy, West Islip, NY 11795-4411 2013-02-12
1427232545 Athanasios Antoniadis Ob Gyn PC Obstetrics & Gynecology 750 Montauk Hwy, West Islip, NY 11795-4411 2007-12-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790843 Aparna Kaleeckal Rajalakshmi Student in an Organized Health Care Education/Training Program 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 2020-04-28
1164087375 South Shore Medical Services Pllc Physician Assistant 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 2019-05-02
1841656030 Asnis Dental Pllc Dentist 440 Montauk Highway, West Islip, NY 11795 2016-01-05
1376913731 Erik Walter Physician Assistant 434 Union Blvd, West Islip, NY 11795 2015-09-29
1902202302 Cathleen Degarmo Specialist 524 Everdell Ave, West Islip, NY 11795 2014-11-12
1902201098 Caitlin Henderson Nurse Practitioner 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 2014-10-31
1497182752 Alyssa C Cervini Social Worker 145 Higbie Ln, West Islip, NY 11795 2013-10-02
1174966485 John George Egner Specialist 1 Kennedylane, W Islip, NY 11795 2013-04-17
1902155369 Timothy George M.d., P.C. Pediatrics 239 Higbie Lane, West Islip, NY 11795 2012-08-31
1124387824 Dawn Marie Coughlin Speech-Language Pathologist 50 Cedar Point Drive, West Islip, NY 11795 2012-05-15
Find all providers in zip 11795

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699887034 Denise E Lester Obstetrics & Gynecology 320 Montauk Highway, South Bay Obgyn PC, West Islip, NY 11795-4401 2006-08-31
1477595882 Comprehensive Obstetrics & Gynecology of Long Island Pllc Obstetrics & Gynecology 556 Montauk Hwy, West Islip, NY 11795-4407 2006-06-11
1427497494 Steven Sheng Obstetrics & Gynecology 1000 Montauk Hwy, Good Samaritan Hospital Medical Center, West Islip, NY 11795-4927 2013-06-22
1144573817 Joseph Livoti Md PC Obstetrics & Gynecology 400 Montauk Hwy, Suite 107, West Islip, NY 11795-4429 2012-10-18
1265796536 Laura J Sheridan-kelchner Obstetrics & Gynecology 556 Montauk Hwy, West Islip, NY 11795-4407 2012-07-01
1245594746 Leonard M Kagan M D P C Obstetrics & Gynecology 1111 Montauk Hwy, West Islip, NY 11795-4910 2012-06-28
1942576459 Angeline B Seah Obstetrics & Gynecology 320 Montauk Highway, South Bay Obgyn, West Islip, NY 11795 2012-03-29
1699064691 Kristin Lynette Sharar Obstetrics & Gynecology 320 Montauk Highway, University Associates In Obstetrics & Gynecology, Ufpc, West Islip, NY 11795-8091 2011-03-31
1073820775 Mona Aliuddin-khan Obstetrics & Gynecology 1000 Montauk Hwy, West Islip, NY 11795-4927 2010-09-02
1588975023 Laura Ann Falkowski Obstetrics & Gynecology 1000 Montauk Hwy, West Islip, NY 11795-4927 2010-06-30
Find all providers in WEST ISLIP

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City WEST ISLIP
Zip Code 11795

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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