Michael Antonchak, MD
Pediatrics, Pediatric Cardiology in New York, NY. Individual provider (NPI-1).
NPI number1154986552
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1154986552
- Entity type
- Individual (NPI-1)
- Name
- Michael Antonchak
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2019
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | 315709 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
550 1st AveNew York, NY 10016-6402
Phone 212-263-5506
Mailing address
550 1st AveNew York, NY 10016-6402
Phone 212-263-5506
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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