MR. ANGELITO ANTONIO NP-C
NPI 1972743698
Nurse Practitioner - Primary Care in Wayne, NJ

Active since February 21, 2009PECOS Enrolled
930 VALLEY RD, WAYNE, NJ 07470(973) 696-3868 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Angelito Antonio Np-c NPPES

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

MR. ANGELITO ANTONIO NP-C (NPI 1972743698) is an individual primary care provider in Wayne, New Jersey, licensed in New Jersey (26NJ00260500) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972743698
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. ANGELITO ANTONIOCredential: NP-C
Location Address930 VALLEY RDWayne, NJ 07470
Mailing Address930 Valley RdWayne, NJ 07470-2900 · (973) 696-3868
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 21, 2009
Last NPPES UpdateJune 20, 2018
✔ NPI 1972743698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ00260500
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License F305268-1 (NY), 26NJ00260500 (NJ)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 26NJ00260500 (NJ), F340760-1 (NY)
930 VALLEY RD, Wayne, NJ 07470

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Angelito Antonio Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254466535
PECOS Enrollment IDI20260203000255
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

4

Medicare enrollment records show Angelito Antonio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania and Texas enrollments
  • 553 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
930 VALLEY RD
WAYNE, NJ 07470

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 Angelito Antonio's NPI number?

The NPI number for Angelito Antonio is 1972743698. It was assigned to this individual provider in the NPPES registry on February 21, 2009.

Where is Angelito Antonio located?

Angelito Antonio practices at 930 Valley Rd, Wayne, NJ 07470. The listed phone number is (973) 696-3868.

What is Angelito Antonio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Angelito Antonio enrolled in Medicare?

Yes. Angelito Antonio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angelito Antonio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelito Antonio reassigns Medicare benefits to 4 organizations: Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ), Brookview Medical Associates, PLLC (Bohemia, NY), Carelon Medical Partners, PC (Nashville, TN) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Angelito Antonio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelito Antonio was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.