Active NPIIndividual providerSole proprietor

Alexander Antonenko, MD

Family Medicine in Vineland, New Jersey

NPI Number1437312394
Practice location
319 Landis Avenue, Vineland, NJ 08360
Fax
856-451-8685
Last updated
July 28, 2010

Alexander Antonenko is a Family Medicine based in Vineland, NJ. Alexander Antonenko practices in Vineland, NJ and has the professional credentials of MD. The NPI Number for Alexander Antonenko is 1437312394 and holds a License No. 25MA08682600 (NJ). The current practice location address for Alexander Antonenko is 319 Landis Avenue, Vineland, NJ 08360 and can be reached out via phone at 856-451-4700 and via fax at 856-451-8685.

Provider Profile Details

NPI Number
1437312394
Provider Name
Alexander Antonenko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
319 Landis Avenue, Vineland, NJ 08360
Phone Number
856-451-4700
Fax Number
856-451-8685
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2008
Last Update Date
July 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
319 Landis Avenue
Vineland, NJ 08360
Zip
08360
Phone Number
856-451-4700
Fax Number
856-451-8685
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
53 S. Laurel Street 2ND Floor
Bridgeton, NJ 08302
City
Bridgeton
State
NJ
Zip
08302
Phone Number
856-451-4700
Fax Number
856-451-8685

License Information

License Number
25MA08682600
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexander Antonenko, MD?

The NPI number of Alexander Antonenko, MD is 1437312394. It was assigned on July 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Alexander Antonenko, MD?

Alexander Antonenko, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA08682600.

Where does Alexander Antonenko, MD practice?

The practice location is 319 Landis Avenue, Vineland, NJ 08360. The office can be reached at 856-451-4700 (phone) or 856-451-8685 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437312394 directly on the NPPES registry website.

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