Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew M Antillon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952867558

Dr. Andrew M Antillon, DO is a Family Practice in Far Rockaway, New York. Qualified in 2018, 8 years ago. Practices with Primary Health Physicians PLLC, a 238-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone: (214) 771-6210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T7854 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952867558
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 19, 2019
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address3700 Ross Ave Apt 123, Dallas, TX 75204-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Primary Health Physicians Pllc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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