Active NPIIndividual provider

Michelle Antonucci, PA

Physician Assistant in Belleville, New Jersey

NPI Number1619497658
Practice location
1 Clara Maass Dr, Belleville, NJ 07109
Fax
—
Last updated
July 26, 2018

Michelle Antonucci is a Physician Assistant based in Belleville, NJ. Michelle Antonucci practices in Belleville, NJ and has the professional credentials of PA. The NPI Number for Michelle Antonucci is 1619497658 and holds a License No. 25MP00437300 (NJ). The current practice location address for Michelle Antonucci is 1 Clara Maass Dr, Belleville, NJ 07109 and can be reached out via phone at 973-450-2000.

Provider Profile Details

NPI Number
1619497658
Provider Name
Michelle Antonucci
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Clara Maass Dr, Belleville, NJ 07109
Phone Number
973-450-2000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2017
Last Update Date
July 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Clara Maass Dr
Belleville, NJ 07109
Zip
07109
Phone Number
973-450-2000
Belleville, NJ 07109Get directions →

Provider Business Mailing Address Details

Address
425 Memorial Pkwy
Bloomfield, NJ 07003-4266
City
Bloomfield
State
NJ
Zip
07003-4266

License Information

License Number
25MP00437300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Michelle Antonucci, PA?

The NPI number of Michelle Antonucci, PA is 1619497658. It was assigned on June 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Michelle Antonucci, PA?

Michelle Antonucci, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00437300.

Where does Michelle Antonucci, PA practice?

The practice location is 1 Clara Maass Dr, Belleville, NJ 07109. The office can be reached at 973-450-2000 (phone).

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 1619497658 directly on the NPPES registry website.

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