DR. EDSEL ANTONIO DO
NPI 1265790752
Obstetrics & Gynecology in Mountainside, NJ
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
Specialties & Licenses
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.
Medicare Billing Reassignments
6Medicare 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.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Newark, NJ 07112
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, New Jersey enrollment
- 155 clinicians in this Medicare group
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, NJPhysician 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.
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.