Active NPIIndividual providerSole proprietor

Mr. Angelito Antonio, NP-C

Nurse Practitioner, Primary Care in Wayne, New Jersey

NPI Number1972743698
Practice location
930 Valley RD, Wayne, NJ 07470
Fax
—
Last updated
June 20, 2018

Angelito Antonio is a Nurse Practitioner, Primary Care based in Wayne, NJ. Angelito Antonio practices in Wayne, NJ and has the professional credentials of NP-C. The NPI Number for Angelito Antonio is 1972743698 and holds a License No. 26NJ00260500 (NJ). The current practice location address for Angelito Antonio is 930 Valley RD, Wayne, NJ 07470 and can be reached out via phone at 973-696-3868.

Provider Profile Details

NPI Number
1972743698
Provider Name
Angelito Antonio
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
930 Valley RD, Wayne, NJ 07470
Phone Number
973-696-3868
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2009
Last Update Date
June 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
930 Valley RD
Wayne, NJ 07470
City
Wayne
Zip
07470
Phone Number
973-696-3868
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
930 Valley RD
Wayne, NJ 07470-2900
City
Wayne
State
NJ
Zip
07470-2900
Phone Number
973-696-3868

License Information

License Number (1)
26NJ00260500
License State (1)
NJ
Taxonomy (1)
Clinical Nurse Specialist, Adult Health · 364SA2200X
License Number (2)
F305268-1
License State (2)
NY
Taxonomy (2)
Clinical Nurse Specialist, Adult Health · 364SA2200X
License Number (3)
F340760-1
License State (3)
NY
Taxonomy (3)
Clinical Nurse Specialist, Gerontology · 364SG0600X
License Number (4)
26NJ00260500
License State (4)
NJ
Taxonomy (4)
Clinical Nurse Specialist, Gerontology · 364SG0600X
License Number (5)
26NJ00260500
License State (5)
NJ
Taxonomy (5)
Nurse Practitioner, Primary Care · 363LP2300X · 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 Mr. Angelito Antonio, NP-C?

The NPI number of Mr. Angelito Antonio, NP-C is 1972743698. It was assigned on February 21, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Angelito Antonio, NP-C?

Mr. Angelito Antonio, NP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ00260500.

Where does Mr. Angelito Antonio, NP-C practice?

The practice location is 930 Valley RD, Wayne, NJ 07470. The office can be reached at 973-696-3868 (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 1972743698 directly on the NPPES registry website.

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