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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.