Evgeny Antonov
NPI 1376930156ActiveIndividual· Nurse Practitioner, Adult Health· Staten Island, NY
Nurse Practitioner, Adult Health in Staten Island, New York, licensed in NY and FL, with an NPI issued in April 2015.
Overview
| NPI | 1376930156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2015 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 312910 | NY |
| Registered Nurse | 163W00000X | 686164 | NY |
| Nurse Practitioner, Adult Health | 363LA2200X | APRN11048524 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Adult Health providers in Staten Island
- 1962137646
- 1306764717
- 1295500668
- 1619563566
- 1578118261
- 1790140770
- 1376428862
- 1497196257
- 1730950866
- 1285925313
- 1467116442
- 1245584291
All Nurse Practitioner, Adult Health providers in New York →