ANDREW ANTONY, M.D. — NPI 1104263862 (Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) in NEW YORK, NY)

CMS-1500 Box 24J / 33a • NPI

1104263862

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RG0100X (CMS 10)

Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)

Box 32 Service Location & ZIP+4

550 1ST AVE, NEW YORK, NY, 10016-6402

✓ 9-Digit EDI 837 ZIP+4 (10016-6402)

Practice Phone & Referral Fax

(212) 263-5506

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104263862 (ANDREW ANTONY, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104263862` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANDREW ANTONY, M.D.
Plain-English Specialty	Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: `207RG0100X` (Internal Medicine, Gastroenterology)
Certifying / Licensing Body	American Board of Internal Medicine — Gastroenterology
Practice Location Address	550 1ST AVE, NEW YORK, NY, 10016-6402
Practice Telephone / Fax	Tel: (212) 263-5506
Administrative Mailing Address	15 VALLEY DR FL 3, GREENWICH, CT, 06831-5205
Enumeration & Last Sync	Enumerated: 2013-06-03 \| CMS Record Updated: 2022-01-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

550 1ST AVE, NEW YORK, NY, 10016-6402

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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)

What Does Taxonomy Code 207RG0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 10 (Physician/Gastroenterology) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Gastroenterology
Clinical Scope: Rectal bleeding, hemorrhoids, persistent acid reflux, difficulty swallowing, jaundice (elevated bilirubin), fatty liver disease, or colon cancer screening.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREW ANTONY, M.D.)

Typical CPT / Diagnostic Procedures:

Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation

Common Therapeutic Classes:

Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
H. pylori Quadruple & Triple Eradication Regimens
Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: NY \| License: `278550` \| Primary: Secondary
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: CT \| License: `64866` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDREW ANTONY, M.D. (NPI #1104263862)