ANTONIO MACIAS M.D.
NPI 1265688220
Pathology - Anatomic Pathology & Clinical Pathology in Berkeley Heights, NJ

Q: What is Antonio Macias's NPI number?

The NPI number for Antonio Macias is 1265688220. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Q: What is Antonio Macias's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Macias was last updated on December 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8673 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2024, Apr 22, 2021, Apr 14, 2021 (3 updates tracked since 2021).

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About Antonio Macias M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO MACIAS M.D. (NPI 1265688220) is an individual anatomic pathology & clinical pathology provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA09814000) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1265688220

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameANTONIO MACIASCredential: M.D.

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(908) 277-8673

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 11, 2008

Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1265688220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in NJ · 25MA09814000✔ Licensed in NY · 245132

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 245132 (NY)

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Other Identifiers 1

Medicaid03108638NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Macias M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173673498

PECOS Enrollment IDI20090609000090, I20210416000668, I20241230000209

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,000 services505 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

342 services311 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

201 services99 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

164 services98 patients

Pap test 88141

A Pap test is a routine exam that checks for changes in cells that could signal a health concern. During this test, a small sample of cells is gently collected from the lower region of the body. The sample is then examined under a microscope to ensure everything looks normal.

63 services62 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

58 services24 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

43 services14 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

29 services29 patients

Pap test, automated thin layer preparation; automated system and manual rescreening 88175

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

29 services28 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

28 services16 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

25 services24 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

20 services20 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

20 services15 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

18 services18 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

16 services15 patients

Pap test, manual screening 88142

A Pap test is a routine procedure that checks for unusual changes in cells. During the manual screening, a small sample of cells is gently collected from the lower region of the body. These cells are then examined under a microscope to ensure your health.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Macias's NPI number?

The NPI number for Antonio Macias is 1265688220. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Antonio Macias located?

Antonio Macias practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8673.

What is Antonio Macias's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Antonio Macias enrolled in Medicare?

Yes. Antonio Macias is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonio Macias was last updated on December 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.