Raquel Antoine, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00701800 Issued in NJ

Practice address

343 Mount Hope Ave Ste 2
Rockaway, NJ 07866-1644

Phone

(973) 366-1181

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peli Eyecare and AssociatesGroup PAC ID 4981024056, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peli Eyecare and Associates

  • Optometrist
  • Sparta, NJ
  • NPI 1679115836

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD
• SP Eyecare of Sparta

  • Health Service Clinic/Center
  • Sparta, NJ
  • NPI 1508409418
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1033715818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41A KENTWOOD RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MOUNT HOPE AVE STE 2",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661644",
            "telephone_number": "973-366-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00701800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allies, Inc.
• Ambulatory Anesthesia of NJ
• Amy Rossi LPC LLC
• Eliezl R Andaya, APN
• Madhavi L Annavajjula, MD
• Bernice Anyanwu, PMHNP-BC
• Arc Morris County Chapter NJ Inc
• Arc Morris County Chapter NJ Inc
• Arc Morris County Chapter NJ Inc
• Arc Morris County Chapter NJ Inc

• All providers in Rockaway, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.