189-04 Facility Inc
NPI 1538567730ActiveOrganization· Internal Medicine, Gastroenterology· Fresh Meadows, NY
Internal Medicine, Gastroenterology in Fresh Meadows, New York, registered in NPPES in December 2014. The authorized official on file is Allen Antonelli, M.D., President.
Overview
| NPI | 1538567730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2014 |
| Last updated in NPPES | Dec 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
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 |
|---|
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