Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVGENY ANTONOV
NPI 1376930156
Nurse Practitioner - Adult Health in Staten Island, NY

Q: What is Evgeny Antonov's NPI number?

The NPI number for Evgeny Antonov is 1376930156. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Evgeny Antonov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Evgeny Antonov was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since April 20, 2015

56 FOSTER RD, STATEN ISLAND, NY 10309(718) 605-6767 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evgeny Antonov NPPES

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

EVGENY ANTONOV (NPI 1376930156) is an individual adult health provider in Staten Island, New York, licensed in New York (312910) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1376930156

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameEVGENY ANTONOV

Location Address56 FOSTER RDStaten Island, NY 10309-3011

Mailing Address56 Foster RdStaten Island, NY 10309-3011

Phone(718) 605-6767

Sole ProprietorYes

Enumeration DateApril 20, 2015

Last NPPES UpdateJuly 22, 2026

NPPES CertifiedJuly 22, 2026

✔ NPI 1376930156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in NY · 312910✔ Licensed in FL · APRN11048524

Also ListedRegistered NurseTaxonomy 163W00000X · License 686164 (NY)

56 FOSTER RD, Staten Island, NY 10309

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Other Providers at the Same Location NPPES

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

YULIA ANTONOVA

Case Manager/Care Coordinator

56 FOSTER RD
STATEN ISLAND, NY 10309

Richmond County (718) 685-4316

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 Evgeny Antonov's NPI number?

The NPI number for Evgeny Antonov is 1376930156. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Evgeny Antonov located?

Evgeny Antonov practices at 56 Foster Rd, Staten Island, NY 10309. The listed phone number is (718) 605-6767.

What is Evgeny Antonov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Evgeny Antonov was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.