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

Nina Katherine Antonov, MD

Individual provider Dermatology Physician · NPI 1467847582

Nina Katherine Antonov, MD is a Dermatology in Westport, Connecticut. Graduated from Columbia University College of Physicians and Surgeons in 2015, 11 years ago. Practices with Modern Dermatology PC, a 5-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
11
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1032 Post Rd E
Westport, CT 06880-5369
Phone: (203) 635-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 67336 (CT)

Record details

NPI number1467847582
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2015
Last updated in NPPESJanuary 16, 2022
Certification dateJanuary 16, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2015 (11 years in practice)
Group practice Modern Dermatology Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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