Nurse Practitioner, Pediatrics
MELISSA ANTONOW
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255837407 · enumerated 2018-04-04 · record updated 2022-07-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 154 COMMACK RD STE 100, COMMACK, NY, 11725-3457 (631) 499-8282 Google Maps Apple Maps OpenStreetMap
- Mailing address 6141 69TH PL, MIDDLE VILLAGE, NY, 11379-1126 (917) 922-7005 Fax (917) 922-7005 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 631114 NY
- Nurse Practitioner, Pediatrics 363LP0200X · License F3822794-1 NY
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License F382794 NY
In this directory
Locations and evidence
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Practice location
COMMACK, NY, 117253457
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.