OrganizationActive
J Andrew Fantl Gynecology PC
NPI 1679653448 · Gynecology Physician · Smithtown, NY
Provider details
- NPI number
- 1679653448
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Fantl, Doctor President(631) 979-2842
- License
- 1988811 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
222 Middle Country Rd
Suite 203
Smithtown, NY 11787
Phone: (631) 979-2842
Fax: (631) 979-2845
Street-level locationGet directions
Mailing address
222 Middle Country Rd
Smithtown, NY 11787
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.