Matthew Antalek (NPI# 1023066065, PAC ID# 8820033228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1023066065 |
| PAC ID by PECOS | 8820033228 |
| Professional Enrollment ID | I20061031000392 |
| Full Name | Matthew Antalek |
| Organization Legal Name | INTERNAL MED ID ASSOCIATES, LLC |
| Address |
2235 Millersport Hwy Suite 100 Getzville NY 14068-1219 |
| Phone Number | 7162045933 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1985 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 3577508969 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330005 | KALEIDA HEALTH |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2235 Millersport Hwy, Suite 100, Getzville, NY 14068-1219 | 7162045933 | INTERNAL MED ID ASSOCIATES, LLC |
| 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 7164476100 | INTERNAL MED ID ASSOCIATES, LLC |
| 1540 Maple Rd, Williamsville, NY 14221-3647 | 7165683600 | INTERNAL MED ID ASSOCIATES, LLC |
| Organization Legal Name | INTERNAL MED ID ASSOCIATES, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey B Frost | Infectious Disease | Internal Med Id Associates, LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| James Francis Swiencicki Jr. | Infectious Disease | Internal Med Id Associates, LLC | 2235 Millersport Hwy, Suite 100, Getzville, NY 14068-1219 |
| William M Healy | Internal Medicine | Internal Med Id Associates, LLC | 2235 Millersport Hwy, Suite 100, Getzville, NY 14068-1219 |
| Street Address |
2235 MILLERSPORT HWY SUITE 100 |
| City | GETZVILLE |
| State | NY |
| Zip | 14068-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nelda Lawler | Internal Medicine | Geriatric Associates, LLP | 2235 Millersport Hwy, Getzville, NY 14068-1219 |
| James Francis Swiencicki Jr. | Infectious Disease | Internal Med Id Associates, LLC | 2235 Millersport Hwy, Suite 100, Getzville, NY 14068-1219 |
| William M Healy | Internal Medicine | Internal Med Id Associates, LLC | 2235 Millersport Hwy, Suite 100, Getzville, NY 14068-1219 |
| Larisa Meras | Internal Medicine | Geriatric Associates, LLP | 2235 Millersport Hwy, Getzville, NY 14068-1219 |
| Jeannie K Koenig | Physical Medicine and Rehabilitation | 2235 Millersport Hwy, Getzville, NY 14068-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Frigon | Clinical Social Worker | Horizon Health Services Inc | 55 Dodge Rd, Getzville, NY 14068-1205 |
| Suzanne L Moxham | Clinical Social Worker | Horizon Health Services Inc | 55 Dodge Rd, Getzville, NY 14068-1205 |
| Joshua T Morra | Psychiatry | Horizon Health Services Inc | 55 Dodge Rd, Getzville, NY 14068-1205 |
| Samuel W Sdoia | Diagnostic Radiology | Quantum Medical Radiology of California PC | 31 Brantley Ct, Getzville, NY 14068-1547 |
| Jill Lieber | Clinical Social Worker | 2430 N Forest Rd, Suite 140, Getzville, NY 14068-1557 | |
| Kevin D Komm | Optometry | 55 Crosspoint Pkwy, Suite 120, Getzville, NY 14068-1615 |
| City | GETZVILLE |
| Zip Code | 14068 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | GETZVILLE + INFECTIOUS DISEASE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.