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NIKOLETTA ANTCZAK PA-C
NPI 1306544259
Physician Assistant - Medical in Cranford, NJ

Active since February 20, 2023PECOS Enrolled
570 SOUTH AVE E, BLDG G, UNIT A, CRANFORD, NJ 07016(908) 272-7990(833) 488-1207 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Oct 20, 2023, Jun 9, 2023 and 1 more (4 updates tracked since 2023).

About Nikoletta Antczak Pa-c NPPES

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

NIKOLETTA ANTCZAK PA-C (NPI 1306544259) is an individual medical provider in Cranford, New Jersey and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306544259
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNIKOLETTA ANTCZAKCredential: PA-C
Location Address570 SOUTH AVE E, BLDG G, UNIT ACranford, NJ 07016-3200
Mailing Address271 Grove Ave Ste EVerona, NJ 07044-1730 · (973) 559-3700 · Fax (833) 484-1686
Phone(908) 272-7990
Fax(833) 488-1207
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 20, 2023
Last NPPES UpdateApril 16, 20254 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1306544259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
570 SOUTH AVE E, BLDG G, UNIT A, Cranford, NJ 07016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikoletta Antczak Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052779535
PECOS Enrollment IDI20230614003662
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

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 Nikoletta Antczak's NPI number?

The NPI number for Nikoletta Antczak is 1306544259. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Nikoletta Antczak located?

Nikoletta Antczak practices at 570 South Ave E, Bldg G, Unit A, Cranford, NJ 07016. The listed phone number is (908) 272-7990.

What is Nikoletta Antczak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nikoletta Antczak enrolled in Medicare?

Yes. Nikoletta Antczak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikoletta Antczak was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.