J ANDREW FANTL GYNECOLOGY PC – NPI #1679653448
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

J ANDREW FANTL GYNECOLOGY PC is a provider located in SMITHTOWN, NY. NPPES has assigned the NPI number 1679653448 to J ANDREW FANTL GYNECOLOGY PC on October 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 18 years ago on May 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for J ANDREW FANTL GYNECOLOGY PC below.

NPI Profile for
J ANDREW FANTL GYNECOLOGY PC

NPI Number
1679653448
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
J ANDREW FANTL GYNECOLOGY PC
Primary location
222 MIDDLE COUNTRY RD
SUITE 203
SMITHTOWN, NY 11787
Phone: (631) 979-2842 Fax: (631) 979-2845
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN FANTL
DOCTOR PRESIDENT
Phone: (631) 979-2842
Updated
Identifiers

Identifiers for J ANDREW FANTL GYNECOLOGY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS665C41
OTHERCIGNA5817720
OTHERGHI9658042
OTHERHIP198881
OTHERMDNYAA50860
OTHERMULTIPLANP62326327
OTHEROXFORDP1935301
OTHERVYTRA53073
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)		 NY 1988811

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.