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MELISSA ANTONOW
NPI 1255837407
Nurse Practitioner - Pediatrics in Commack, NY

Active since April 04, 2018PECOS Enrolled
154 COMMACK RD STE 100, COMMACK, NY 11725(631) 499-8282 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2022, Jul 7, 2022 (2 updates tracked since 2022).

About Melissa Antonow NPPES

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

MELISSA ANTONOW (NPI 1255837407) is an individual pediatrics provider in Commack, New York, licensed in New York (F382794) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ridgewood.

NPPES Registry Identity

NPI1255837407
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMELISSA ANTONOW
Location Address154 COMMACK RD STE 100Commack, NY 11725-3457
Mailing Address6141 69th PlMiddle Village, NY 11379-1126 · (917) 922-7005 · Fax (917) 922-7005
Phone(631) 499-8282
Sole ProprietorNo
Enumeration DateApril 4, 2018
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1255837407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · F382794✔ Licensed in NY · F3822794-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 631114 (NY)
154 COMMACK RD STE 100, Commack, NY 11725
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Secondary Practice Location 1

Location 16655 Fresh Pond RdRidgewood, NY 11385-3261 · Phone (718) 497-1919

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Antonow 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLE MARAN MILBACK NP
Nurse Practitioner (Pediatrics)
154 COMMACK RD STE 100
COMMACK, NY 11725
Suffolk County (631) 499-8282

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 Melissa Antonow's NPI number?

The NPI number for Melissa Antonow is 1255837407. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Melissa Antonow located?

Melissa Antonow practices at 154 Commack Rd Ste 100, Commack, NY 11725. The listed phone number is (631) 499-8282.

What is Melissa Antonow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Melissa Antonow enrolled in Medicare?

Yes. Melissa Antonow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Antonow was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.