DR. EDSEL ANTONIO DO
NPI 1265790752
Obstetrics & Gynecology in Mountainside, NJ

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
200 SHEFFIELD ST STE 206, MOUNTAINSIDE, NJ 07092(973) 447-4746 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edsel Antonio Do NPPES

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

DR. EDSEL ANTONIO DO (NPI 1265790752) is an individual obstetrics & gynecology provider in Mountainside, New Jersey, licensed in New Jersey (25MB09742100) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).

NPPES Registry Identity

NPI1265790752
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EDSEL ANTONIOCredential: DO
Location Address200 SHEFFIELD ST STE 206Mountainside, NJ 07092-2315
Mailing Address200 Sheffield St Ste 206Mountainside, NJ 07092-2315 · (973) 447-4746
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2011
Enumeration DateMay 2, 2012
Last NPPES UpdateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1265790752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MB09742100
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
200 SHEFFIELD ST STE 206, Mountainside, NJ 07092

Accepted Insurance

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. Edsel Antonio Do 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 ID5092022418
PECOS Enrollment IDI20150917002052
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Edsel Antonio reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
General Acute Care Hospital
201 LYONS AVE
Newark, NJ 07112
  • Reassigned Medicare billing, New Jersey enrollment
  • 79 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1033100854 (California)
  • 172 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07092 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Edsel Antonio's NPI number?

The NPI number for Edsel Antonio is 1265790752. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Edsel Antonio located?

Edsel Antonio practices at 200 Sheffield St Ste 206, Mountainside, NJ 07092. The listed phone number is (973) 447-4746.

What is Edsel Antonio's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edsel Antonio enrolled in Medicare?

Yes. Edsel Antonio 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 Edsel Antonio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edsel Antonio reassigns Medicare benefits to 6 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Newark Beth Israel Medical Center Inc (Newark, NJ), Obhg California, P.C. (Greenville, SC), Ob Hospitalist Services New Jersey, PA (Greenville, SC) and 1 more organization, listed in the Medicare section above. 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 Edsel Antonio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edsel Antonio accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Edsel Antonio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edsel Antonio affiliated with any hospitals?

According to CMS data, Edsel Antonio is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Edsel Antonio was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.