OrganizationActive
Oleg Antonov MD PC
NPI 1710307087 · Dermatology Physician · Philadelphia, PA
Oleg Antonov MD PC is a Dermatology Physician organization in Philadelphia, PA (NPI 1710307087).
Provider details
- NPI number
- 1710307087
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oleg Antonov, Owner(267) 639-0528
- License
- MD432473 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
11400 Bustleton Ave
Philadelphia, PA 19116-2815
Phone: (267) 639-0528
Fax: (215) 969-4451
Street-level locationGet directions
Mailing address
11400 Bustleton Ave
Philadelphia, PA 19116-2815
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2014-04-24
Frequently asked questions
- What is Oleg Antonov MD PC's NPI number?
- Oleg Antonov MD PC's National Provider Identifier (NPI) is 1710307087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oleg Antonov MD PC?
- Oleg Antonov MD PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Oleg Antonov MD PC located?
- Oleg Antonov MD PC's practice location on file with NPPES is 11400 Bustleton Ave, Philadelphia, PA 19116-2815.
- What is Oleg Antonov MD PC's phone number?
- The practice phone number listed in the NPPES registry for Oleg Antonov MD PC is (267) 639-0528.
- Who is the authorized official for Oleg Antonov MD PC?
- The authorized official listed on Oleg Antonov MD PC's NPPES record is Oleg Antonov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oleg Antonov MD PC's NPI active?
- Yes — Oleg Antonov MD PC's NPI (1710307087) is active in the NPPES registry as of the last update on 2014-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.