MICHELLE ANTONUCCI PA
NPI 1619497658
Physician Assistant in Belleville, NJ

Q: What is Michelle Antonucci's NPI number?

The NPI number for Michelle Antonucci is 1619497658. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Michelle Antonucci's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 21, 2017PECOS Enrolled

1 CLARA MAASS DR, BELLEVILLE, NJ 07109(973) 450-2000 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2018, Jun 21, 2017 (2 updates tracked since 2017).

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About Michelle Antonucci Pa NPPES

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

MICHELLE ANTONUCCI PA (NPI 1619497658) is an individual physician assistant in Belleville, New Jersey, licensed in New Jersey (25MP00437300) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619497658

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE ANTONUCCICredential: PA

Location Address1 CLARA MAASS DRBelleville, NJ 07109

Mailing Address425 Memorial PkwyBloomfield, NJ 07003-4266

Phone(973) 450-2000

Sole ProprietorNo

Enumeration DateJune 21, 2017

Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration

✔ NPI 1619497658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00437300

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 CLARA MAASS DR, Belleville, NJ 07109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Antonucci Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

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.

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.

NORTHERN NEW JERSEY ANESTHESIA ASSOCIATES, LLC

Anesthesiology