Patricia Antoine-lackish, PMHNP is a
Registered Nurse - Psychiatric/mental Health based in Asbury, New Jersey. Patricia Antoine-lackish is licensed to practice in New Jersey (license number 2025028608) and her current practice location is
238 Asbury Anderson Rd, Asbury, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(484) 529-9140.
NPI number for Patricia Antoine-lackish is 1154213395 and her current mailing address is 238 Asbury Anderson Rd, Asbury, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154213395.
Provider's Profile
Full Name | Patricia Antoine-lackish |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 238 Asbury Anderson Rd, Asbury, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154213395
- Provider Enumeration Date: 07/21/2025
- Last Update Date: 07/21/2025
Medical Identifiers
Medical identifiers for Patricia Antoine-lackish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154213395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 2025028608 (New Jersey) | Secondary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 2025028608 (New Jersey) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 2025028608 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia Antoine-lackish is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patricia Antoine-lackish, PMHNP 238 Asbury Anderson Rd, Asbury, NJ 08802-1040 Ph: (484) 529-9140 | Patricia Antoine-lackish, PMHNP 238 Asbury Anderson Rd, Asbury, NJ 08802-1040 Ph: (484) 529-9140 |
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