Active NPI
Angela Therese Lantin, MD
- Family Medicine Physician
- Phillipsburg, NJ
National Provider Identifier
1083893689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-1992
- Practice address
- 755 Memorial Pkwy Ste 300
Phillipsburg, NJ 08865-2748 - Phone
- (908) 454-6303
- Fax
- (908) 454-2289
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-1992 | GU | Primary |
| Family Medicine Physician | 207Q00000X | A112424 | CA |
Addresses
Primary practice location
755 Memorial Pkwy Ste 300
Phillipsburg, NJ 08865-2748
Mailing address
600 Harmon Loop Rd
Ste 105
Dededo, GU 96929-6536
Phone (671) 633-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1992 | GU | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Medical Health Care Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Tamuning, GU
- NPI 1902160211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472860800000",
"number": "1083893689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HARMON LOOP RD",
"address_2": "STE 105",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969296536",
"telephone_number": "671-633-3800",
"fax_number": "671-633-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MEMORIAL PKWY STE 300",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652748",
"telephone_number": "908-454-6303",
"fax_number": "908-454-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTIN",
"first_name": "ANGELA",
"middle_name": "THERESE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2016-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GU",
"license": "M-1992",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A112424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.