OrganizationActive
Stanley J. Antolak Jr. MD PA
NPI 1508930512 · Specialist · Lake Elmo, MN
Stanley J. Antolak Jr. MD PA is a Specialist organization in Lake Elmo, MN (NPI 1508930512).
Provider details
- NPI number
- 1508930512
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Stanley Antolak, President(651) 735-9355
- License
- 16329 (MN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8650 Hudson Blvd N
Suite 325
Lake Elmo, MN 55042-9747
Phone: (651) 735-9355
Fax: (651) 735-0726
Street-level locationGet directions
Mailing address
8650 Hudson Blvd N
Lake Elmo, MN 55042-9747
Other names (DBA / former)
- Doing business as
- Center for Urologic and Pelvic Pain
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Stanley J. Antolak Jr. MD PA's NPI number?
- Stanley J. Antolak Jr. MD PA's National Provider Identifier (NPI) is 1508930512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stanley J. Antolak Jr. MD PA?
- Stanley J. Antolak Jr. MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Stanley J. Antolak Jr. MD PA located?
- Stanley J. Antolak Jr. MD PA's practice location on file with NPPES is 8650 Hudson Blvd N, Lake Elmo, MN 55042-9747.
- What is Stanley J. Antolak Jr. MD PA's phone number?
- The practice phone number listed in the NPPES registry for Stanley J. Antolak Jr. MD PA is (651) 735-9355.
- Who is the authorized official for Stanley J. Antolak Jr. MD PA?
- The authorized official listed on Stanley J. Antolak Jr. MD PA's NPPES record is Stanley Antolak, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stanley J. Antolak Jr. MD PA's NPI active?
- Yes — Stanley J. Antolak Jr. MD PA's NPI (1508930512) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.