DR. HEATH ANTOINE M.D.
NPI 1265728638
Surgery in Somerset, NJ
About Dr. Heath Antoine M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATH ANTOINE M.D. (NPI 1265728638) is an individual surgery provider in Somerset, New Jersey, licensed in New Jersey (25MA10177100) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Heath Antoine 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heath Antoine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 9 clinicians in this Medicare group
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heath Antoine's NPI number?
The NPI number for Heath Antoine is 1265728638. It was assigned to this individual provider in the NPPES registry on June 23, 2011.
Where is Heath Antoine located?
Heath Antoine practices at 81 Veronica Ave Ste 205, Somerset, NJ 08873. The listed phone number is (732) 640-5316.
What is Heath Antoine's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Heath Antoine enrolled in Medicare?
Yes. Heath Antoine 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.
Which organizations bill Medicare for Heath Antoine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heath Antoine reassigns Medicare benefits to 2 organizations: Advanced Surgical Radiology LLC (Somerset, NJ) and Temple Faculty Practice Plan, Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heath Antoine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Heath Antoine affiliated with any hospitals?
According to CMS data, Heath Antoine is affiliated with Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Heath Antoine was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Heath Antoine, M.D. · NPI 1265728638
Surgery physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since June 23, 2011.
## Identity
- **NPI:** 1265728638 (Entity type: Individual)
- **Enumerated:** June 23, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 25MA10177100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 VERONICA AVE STE 205, Somerset, NJ 08873-3491
- **Phone:** (732) 640-5316
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advanced Surgical Radiology LLC (NPI 1336489913, Somerset, NJ); Temple Faculty Practice Plan, Inc (NPI 1093298887, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 8, 2021
- **Other identifiers:** Medicaid 1265728638 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1265728638) · Data from the CMS NPPES public registry.