IndividualActive
Antaeus Waller
NPI 1659233344 · Registered Nurse · Long Island City, NY
Antaeus Waller is a Registered Nurse provider in Long Island City, NY (NPI 1659233344).
Provider details
- NPI number
- 1659233344
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 996271 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2811 Queens Plz N
Long Island City, NY 11101-4172
Phone: (718) 391-8300
Street-level locationGet directions
Mailing address
20983 Whitehall Ter
Queens Village, NY 11427-1722
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Antaeus Waller's NPI number?
- Antaeus Waller's National Provider Identifier (NPI) is 1659233344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antaeus Waller's specialty?
- Antaeus Waller is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Antaeus Waller located?
- Antaeus Waller's practice location on file with NPPES is 2811 Queens Plz N, Long Island City, NY 11101-4172.
- What is Antaeus Waller's phone number?
- The practice phone number listed in the NPPES registry for Antaeus Waller is (718) 391-8300.
- Is Antaeus Waller's NPI active?
- Yes — Antaeus Waller's NPI (1659233344) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.