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J ANDREW FANTL GYNECOLOGY PC
NPI 1679653448
Obstetrics & Gynecology - Gynecology in Smithtown, NY

Active since October 16, 2006
222 MIDDLE COUNTRY RD, SUITE 203, SMITHTOWN, NY 11787(631) 979-2842(631) 979-2845 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J Andrew Fantl Gynecology Pc NPPES

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

J ANDREW FANTL GYNECOLOGY PC (NPI 1679653448) is a healthcare organization registered as a gynecology in Smithtown, New York and active in the NPI registry since October 2006. The organization lists John Andrew Fantl, Doctor President, as its authorized official.

NPPES Registry Identity

NPI1679653448
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameJ ANDREW FANTL GYNECOLOGY PC
Location Address222 MIDDLE COUNTRY RD, SUITE 203Smithtown, NY 11787
Mailing Address222 Middle Country Rd, Suite 203Smithtown, NY 11787 · (631) 979-2842 · Fax (631) 979-2845
Phone(631) 979-2842
Fax(631) 979-2845
Organization SubpartNo
Authorized OfficialJohn Andrew FantlDoctor President · (631) 979-2842
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 13, 2008
✔ NPI 1679653448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 1988811
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
222 MIDDLE COUNTRY RD, Smithtown, NY 11787
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Other Identifiers 10

OtherP62326327Multiplan
Medicare PINWANR41NY
Medicare UPINB62314
Other665C41Bcbs
OtherP1935301Oxford
Other53073Vytra
Other9658042Ghi
Other198881Hip
Other5817720Cigna
OtherAA50860Mdny

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

Other Providers at the Same Location NPPES 15

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

JOAN DIDONATO LCSW
Social Worker (Clinical)
222 MIDDLE COUNTRY RD, STE 210
SMITHTOWN, NY 11787
Suffolk County (631) 979-7441
SUZANNE L TUZEL MD
Psychiatry & Neurology (Psychiatry)
222 MIDDLE COUNTRY RD, SUITE 210
SMITHTOWN, NY 11787
Suffolk County (631) 265-6868
DR. MICHAEL DOMENICK DAMICO
Dentist
222 MIDDLE COUNTRY RD, SUITE 316
SMITHTOWN, NY 11787
Suffolk County (631) 724-4747
MS. JOHANNA PETRYCKI P.A.
Physician Assistant (Medical)
222 MIDDLE COUNTRY RD, SUITE 228
SMITHTOWN, NY 11787
Suffolk County (631) 265-1351
MR. ADI ZION P.T.
Physical Therapist
222 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787
Suffolk County (631) 724-5788
MARTHA TSARKALIS M.D
Family Medicine
222 MIDDLE COUNTRY RD, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 265-2222
SHELLEY J EPSTEIN MD
Psychiatry & Neurology (Psychiatry)
222 MIDDLE COUNTRY RD, SUITE 210
SMITHTOWN, NY 11787
Suffolk County (631) 265-6868
MISS CAROL DIANE VOGEL P.T.
Physical Therapist
222 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787
Suffolk County (631) 724-5788

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 J Andrew Fantl Gynecology PC's NPI number?

The NPI number for J Andrew Fantl Gynecology PC is 1679653448. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is J Andrew Fantl Gynecology PC located?

J Andrew Fantl Gynecology PC is located at 222 Middle Country Rd Suite 203, Smithtown, NY 11787. The listed phone number is (631) 979-2842.

What is J Andrew Fantl Gynecology PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for J Andrew Fantl Gynecology PC was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.