Dr Antoni D'souza, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Oakland Gardens, New York. His current practice location is
5604 202nd St, Oakland Gardens, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 873-9674.
Dr Antoni D'souza is licensed to practice in New York (license number 219321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255438263.
Physician's Profile
| Full Name | Dr Antoni D'souza |
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| Gender | Male |
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| Speciality | Pediatrics - Neonatal-perinatal Medicine |
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| Location | 5604 202nd St, Oakland Gardens, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255438263
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 06/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 8224009410
- Enrollment ID: I20040802001576
Medical Identifiers
Medical identifiers for Dr Antoni D'souza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255438263 | NPI | - | NPPES |
| 02109442 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 219321 (New York) | Primary |
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 219321 (New York) | Secondary |
| 208000000X | Pediatrics | 219321 (New York) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Antoni D'souza allows following entities to bill medicare on his behalf.
| Entity Name | The Brookdale Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
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| Entity Name | Interfaith Professional Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Antoni D'souza is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Antoni D'souza, MD 5604 202nd St, Oakland Gardens, NY 11364-1629 Ph: (917) 873-9674 | Dr Antoni D'souza, MD 5604 202nd St, Oakland Gardens, NY 11364-1629 Ph: (917) 873-9674 |
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