| Dr Edsel Antonio, DO | |
|
200 Sheffield St Ste 206, Mountainside, NJ 07092-2315 | |
| (973) 447-4746 | |
| Not Available |
| Full Name | Dr Edsel Antonio |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 200 Sheffield St Ste 206, Mountainside, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265790752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 25MB09742100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newark Beth Israel Medical Center | Newark, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barnabas Health Medical Group Pc | 9537316955 | 1027 |
| Entity Name | Newark Beth Israel Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033210323 PECOS PAC ID: 3173437464 Enrollment ID: O20031119000754 |
| Entity Name | Barnabas Health Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
| Entity Name | Ob Hospitalist Services New Jersey PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801169966 PECOS PAC ID: 3476859182 Enrollment ID: O20160307001190 |
| Entity Name | Rwjbh Observation Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edsel Antonio, DO 200 Sheffield St Ste 206, Mountainside, NJ 07092-2315 Ph: (973) 447-4746 | Dr Edsel Antonio, DO 200 Sheffield St Ste 206, Mountainside, NJ 07092-2315 Ph: (973) 447-4746 |
Russell R Hoffman, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 Sheffield St Ste 313, Mountainside, NJ 07092 Phone: 908-273-3335 Fax: 908-273-4648 |