Lawrence C. Antonucci MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA04759200 Issued in NJ

Legal business name

LAWRENCE C. ANTONUCCI MD LLC

Practice address

415 Route 24
Su E
Chester, NJ 07930-2920

Phone

(908) 879-1500

Fax

(908) 879-1515

NPI assigned

Nov 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence C Antonucci, MDNPI 1083684914

Title

Owner

Phone

(908) 879-1500

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Charles Antonucci, MD

  • Cardiovascular Disease Physician
  • Chester, NJ
  • NPI 1083684914
  Medicare reassignment NPD Authorized official
• Nicole Marie Douglas, APN

  • Adult Health Nurse Practitioner
  • Chester, NJ
  • NPI 1215527874
  Medicare reassignment NPD
• Clifford Sebastian, MD

  • Cardiovascular Disease Physician
  • Chester, NJ
  • NPI 1164409538
  Medicare reassignment NPD
• Gurpreet Singh Sidhu, M.D.

  • Interventional Cardiology Physician
  • Chester, NJ
  • NPI 1255641163

  Cardiovascular Disease

  Medicare reassignment NPD
• Mark J Zucker, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Morristown, NJ
  • NPI 1356319180

  Cardiovascular Disease

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1023092368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROUTE 24",
            "address_2": "SU E",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302920",
            "telephone_number": "908-879-1500",
            "fax_number": "908-879-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROUTE 24",
            "address_2": "SU E",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302920",
            "telephone_number": "908-879-1500",
            "fax_number": "908-879-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE C. ANTONUCCI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "ANTONUCCI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-879-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04759200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2198207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K5143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US STANLEY",
            "identifier": "303755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "IS055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN",
            "identifier": "109881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CHOICE CHESTER",
            "identifier": "536P31",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORRISTOWN",
            "identifier": "536P32",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanne Lamb
• Thomas Lammertse, M.D.
• Alexis Land, LSW
• Nikolaos Laoutaris, D.D.S.
• Laurie Lasorsa, DC
• Jeffry Brian Lawrence, M.D.
• Alex F Lazo-Vasquez, MD
• Fredelyne Lebrun
• Patrick Leonard, PT
• Alison Lewis, MD

• Cardiovascular Disease Physician in Chester, NJ
• Providers in Chester, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.