DR. THEODORE ANTONETZ, DPM, PC
NPI 1750708822
Podiatrist in New York, NY

Active since March 26, 2014
185 W END AVE, SUITE 1N, NEW YORK, NY 10023(212) 877-3062(212) 873-9521 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theodore Antonetz, Dpm, Pc NPPES

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

DR. THEODORE ANTONETZ, DPM, PC (NPI 1750708822) is a healthcare organization registered as a podiatrist in New York, New York and active in the NPI registry since March 2014. The organization lists Theodore Antonetz, Owner, as its authorized official.

NPPES Registry Identity

NPI1750708822
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR. THEODORE ANTONETZ, DPM, PC
Location Address185 W END AVE, SUITE 1NNew York, NY 10023-5539
Mailing Address6 Frances DrKatonah, NY 10536-3211 · (212) 877-3062 · Fax (212) 873-9521
Fax(212) 873-9521
Organization SubpartNo
Authorized OfficialTheodore AntonetzOwner · (212) 877-3062
Enumeration DateMarch 26, 2014
✔ NPI 1750708822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
185 W END AVE, New York, NY 10023

Other Identifiers 2

Medicaid01008924NY
Medicare UPINP43851NY

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)

Dr. Theodore Antonetz, Dpm, Pc 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 Dr. Theodore Antonetz, DPM, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1083714554
185 WEST END AVENUE SUITE 1N
Nyc, NY 10023
(212) 877-3062
✔ PECOS✔ Accepts Medicare5.9 mi

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 Dr. Theodore Antonetz, Dpm, PC's NPI number?

The NPI number for Dr. Theodore Antonetz, Dpm, PC is 1750708822. It was assigned to this organization in the NPPES registry on March 26, 2014.

Where is Dr. Theodore Antonetz, Dpm, PC located?

Dr. Theodore Antonetz, Dpm, PC is located at 185 W End Ave Suite 1N, New York, NY 10023. The listed phone number is (212) 877-3062.

What is Dr. Theodore Antonetz, Dpm, PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dr. Theodore Antonetz, Dpm, PC enrolled in Medicare?

Yes. Dr. Theodore Antonetz, Dpm, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Theodore Antonetz, Dpm, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr. Theodore Antonetz, Dpm, PC. 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 Dr. Theodore Antonetz, Dpm, PC was last updated on March 26, 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.