Active NPI
Antoine Alexandra Lespinasse, MD
- Neonatal-Perinatal Medicine Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA07507600
- Practice address
- 1000 Haddonfield Berlin Rd
Suite 210
Voorhees, NJ 08043-3520 - Phone
- (856) 782-2212
- Fax
- (856) 782-2266
- NPI assigned
- Sep 16, 2005
- Last updated
- Apr 15, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07507600 | NJ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA07507600 | NJ | Primary |
Addresses
Primary practice location
1000 Haddonfield Berlin Rd
Suite 210
Voorhees, NJ 08043-3520
Mailing address
194 Highland Ave
Montclair, NJ 07042-1914
Phone (973) 746-0250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024945 | Medicaid | NJ | |
| 2085801 | Medicaid | MA |
Other names 1
- Antoine Duvivier
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07507600 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Pediatrics | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Boston University Medical Center Radiologists, Inc. | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Montclair Hospital LLC | Past | Accepting new patients |
Locations
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
Interoperability endpoints
- alespinasse189897@ahs.direct-ci.com
Organizations & group practices 5
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 University Pediatric Associates
- Pediatrics Physician
- Newark, NJ
- NPI 1679583272
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Specialist
- Brighton, MA
- NPI 1174513204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1114912052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 HIGHLAND AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070421914",
"telephone_number": "973-746-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD",
"address_2": "SUITE 210",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433520",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESPINASSE",
"first_name": "ANTOINE",
"middle_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07507600",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA07507600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0024945",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085801",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANTOINE",
"last_name": "DUVIVIER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.