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ANTHONY J ANTONUCCI M D P C
NPI 1083751879
Internal Medicine in Huntington, NY

Active since January 31, 2007
830 PARK AVE, CARILLON NURSING AND REHABILITATION CENTER, HUNTINGTON, NY 11743(631) 827-6689(631) 673-4936 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony J Antonucci M D P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY J ANTONUCCI M D P C (NPI 1083751879) is a healthcare organization registered as an internal medicine in Huntington, New York and active in the NPI registry since January 2007. The organization lists Anthony J Antonucci, Md, as its authorized official.

NPPES Registry Identity

NPI1083751879
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANTHONY J ANTONUCCI M D P C
Location Address830 PARK AVE, CARILLON NURSING AND REHABILITATION CENTERHuntington, NY 11743-4543
Mailing Address6 Hennessey DrHuntington, NY 11743-3824 · (631) 827-6689 · Fax (631) 673-4936
Phone(631) 827-6689
Fax(631) 673-4936
Organization SubpartNo
Authorized OfficialAnthony J AntonucciMd · (631) 827-6689
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 23, 2021
NPPES CertifiedJanuary 23, 2021
✔ NPI 1083751879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 170689
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
830 PARK AVE, Huntington, NY 11743
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Other Identifiers 1

Medicaid01048177NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony J Antonucci M D P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anthony J Antonucci M D P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anthony Antonucci, MD
Internal Medicine
NPI 1811007743
830 PARK AVE CARILLON NURSING AND REHABILITATION CENTER
Huntington, NY 11743
(631) 827-6689
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony J Antonucci M D P C's NPI number?

The NPI number for Anthony J Antonucci M D P C is 1083751879. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Anthony J Antonucci M D P C located?

Anthony J Antonucci M D P C is located at 830 Park Ave Carillon Nursing And Rehabilitation Center, Huntington, NY 11743. The listed phone number is (631) 827-6689.

What is Anthony J Antonucci M D P C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony J Antonucci M D P C enrolled in Medicare?

Yes. Anthony J Antonucci M D P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anthony J Antonucci M D P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Anthony J Antonucci M D P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anthony J Antonucci M D P C was last updated on January 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.