Active NPI
Lawrence Charles Antonucci, MD
- Cardiovascular Disease Physician
- Chester, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04759200
- Practice address
- 415 Route 24
Suite E
Chester, NJ 07930 - Phone
- (908) 879-1500
- Fax
- (908) 879-1515
- NPI assigned
- Jan 24, 2006
- Last updated
- Sep 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA04759200 | NJ | Primary |
Addresses
Primary practice location
415 Route 24
Suite E
Chester, NJ 07930
Mailing address
415 Route 24
Suite E
Chester, NJ 07930
Phone (908) 879-1500
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0844060 | Other | CIGNA | |
| 2K5143 | Other | HEALTHNET | |
| 3430588 | Other | AETNA HMO | |
| 536P31 | Other | WELL CHOICE - CHESTER | |
| 68334 | Other | LOCAL 825 | |
| 0211089000 | Other | AMERI HEALTH HMO PIN | |
| 542139628 | Other | UNITED HEALTH CARE | |
| IS055 | Other | OXFORD | |
| 010000599500 | Other | AMERICHOICE | |
| 536P32 | Other | WELL CHOICE - MORRISTOWN | |
| P00064234 | Other | RR MEDICARE | |
| 109881 | Other | CHN | |
| 4232346 | Other | NON HMO | |
| 2198207 | Other | GHI | |
| 62677528 | Other | MULTI PLAN | |
| 16131 | Other | UHP | |
| 303755 | Other | US STANLEY | |
| 542139628 | Other | BC/BS |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.16 of 100
- Quality
- 78.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04759200 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence C. Antonucci MD LLC | Cardiovascular Disease | Current | Accepting new patients |
| Advanced Cardiology, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Consensus Medical Group LLC | Current | Accepting new patients | |
| John M Dalena and Darren R Blumberg MD LLC | Past | Accepting new patients | |
| Cardiovascular Health Consultants, P.a. | Past | Accepting new patients | |
| Premier Cardiovascular Associates, P.C. | Past | Accepting new patients | |
| Garden State Urology LLC | Past | Accepting new patients | |
| CMG Medical Group I LLC | Past | Accepting new patients |
Locations
65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302
415 Route 24
Ste E
Chester, NJ 07930
Phone (908) 879-1500
706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888
420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
21 Perry St
Ste 1
Morristown, NJ 07960
Phone (973) 285-9300
95 Madison Ave
Ste B01
Morristown, NJ 07960
Phone (973) 267-6474
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc35130_gardenstateurology
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Physical Therapy
- Cardiovascular Disease Physician
- Cedar Knolls, NJ
- NPI 1295871796
-
- Cardiovascular Disease Physician
- Chester, NJ
- NPI 1023092368
-
- Internal Medicine Physician
- Manasquan, NJ
- NPI 1811466881
-
- Legal Medicine
- Morristown, NJ
- NPI 1437291739
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1942778014
-
- Urology Physician
- Whippany, NJ
- NPI 1629231766
-
- Gastroenterology Physician
- Cedar Knolls, NJ
- NPI 1033255096
-
- Specialist
- Morristown, NJ
- NPI 1538227038
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Flemington, NJ
- NPI 1922095116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1083684914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ROUTE 24",
"address_2": "SUITE E",
"city": "CHESTER",
"state": "NJ",
"postal_code": "07930",
"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": "SUITE E",
"city": "CHESTER",
"state": "NJ",
"postal_code": "07930",
"telephone_number": "908-879-1500",
"fax_number": "908-879-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONUCCI",
"first_name": "LAWRENCE",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA04759200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0844060",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K5143",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3430588",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE - CHESTER",
"identifier": "536P31",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL 825",
"identifier": "68334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERI HEALTH HMO PIN",
"identifier": "0211089000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "542139628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "IS055",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "010000599500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE - MORRISTOWN",
"identifier": "536P32",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00064234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHN",
"identifier": "109881",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON HMO",
"identifier": "4232346",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2198207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN",
"identifier": "62677528",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP",
"identifier": "16131",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US STANLEY",
"identifier": "303755",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "542139628",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.