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ANTONIO GAINES M.D.
NPI 1134548787
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since April 10, 2014PECOS Enrolled
82 AINSWORTH AVE, STATEN ISLAND, NY 10308(347) 330-5595 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonio Gaines M.d. NPPES

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

ANTONIO GAINES M.D. (NPI 1134548787) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134548787
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO GAINESCredential: M.D.
Location Address82 AINSWORTH AVEStaten Island, NY 10308-3020
Mailing Address82 Ainsworth AveStaten Island, NY 10308-3020
Phone(347) 330-5595
Sole ProprietorNo
Enumeration DateApril 10, 2014
✔ NPI 1134548787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
82 AINSWORTH AVE, Staten Island, NY 10308
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio Gaines M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Antonio Gaines's NPI number?

The NPI number for Antonio Gaines is 1134548787. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Antonio Gaines located?

Antonio Gaines practices at 82 Ainsworth Ave, Staten Island, NY 10308. The listed phone number is (347) 330-5595.

What is Antonio Gaines's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Antonio Gaines enrolled in Medicare?

Yes. Antonio Gaines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Gaines was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.