Anton Fetisov
NPI 1811698665 · Registered Nurse · South Floral Park, NY
Anton Fetisov is a Registered Nurse provider in South Floral Park, NY (NPI 1811698665).
Provider details
- NPI number
- 1811698665
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 033053 (NY)
Specialties & taxonomies
Nursing Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Anton Fetisov's NPI number?
- Anton Fetisov's National Provider Identifier (NPI) is 1811698665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anton Fetisov's specialty?
- Anton Fetisov is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Anton Fetisov located?
- Anton Fetisov's practice location on file with NPPES is 31 Kingston Ave, South Floral Park, NY 11001-3517.
- What is Anton Fetisov's phone number?
- The practice phone number listed in the NPPES registry for Anton Fetisov is (929) 928-0468.
- Is Anton Fetisov's NPI active?
- Yes — Anton Fetisov's NPI (1811698665) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.