Active NPI
Lauren Antonison, FNP-BC
- Family Nurse Practitioner
- West Deptford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00515000
- Practice address
- 213 Westwood CT
West Deptford, NJ 08096-3134 - Phone
- (856) 684-0326
- NPI assigned
- Aug 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00515000 | NJ | Primary |
Addresses
Primary practice location
213 Westwood CT
West Deptford, NJ 08096-3134
Mailing address
1107 Mantua Pike Ste 720-208
Mantua, NJ 08051-1606
Phone (856) 684-0326
Other practice location 1
45 Euclid St Ste 202
Woodbury, NJ 08096-4631
Phone (856) 628-4504
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
West Deptford, NJ 08096
Phone (856) 684-0326
1107 Mantua Pike
Suite 720 208
Mantua, NJ 08051-1606
1301 Springdale Rd
Suite 150
Cherry Hill, NJ 08003-2763
Phone (856) 424-1333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00515000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Federation of Southern NJ | Current | Accepting new patients | |
| Garden State Psychiatric Services, LLC | Current | Accepting new patients | |
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Lauren Antonison Wellness LLC | Family | Current | Accepting new patients |
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients |
Locations
6 E Miami Ave
Cherry Hill, NJ 08034
Phone (856) 428-1344
1301 Springdale Rd
Ste 150
Cherry Hill, NJ 08003
Phone (609) 424-1333
1107 Mantua Pike
Ste 720208
Mantua, NJ 08051
28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
190 N Evergreen Ave
Ste 202
Woodbury, NJ 08096
Phone (856) 628-4504
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 7
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.
-
- Clinical Social Worker
- Cherry Hill, NJ
- NPI 1366553414
-
- Family Nurse Practitioner
- West Deptford, NJ
- NPI 1881441087
-
- Family Medicine Physician
- Montclair, NJ
- NPI 1649873183
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Family Nurse Practitioner
- Montclair, NJ
- NPI 1154152411
-
- Clinic/Center
- Woodbury, NJ
- NPI 1073135117
-
- Family Medicine Physician
- Montclair, NJ
- NPI 1356048573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1235538091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 MANTUA PIKE STE 720-208",
"city": "MANTUA",
"state": "NJ",
"postal_code": "080511606",
"telephone_number": "856-684-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 WESTWOOD CT",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963134",
"telephone_number": "856-684-0326"
}
],
"practiceLocations": [
{
"address_1": "45 Euclid St Ste 202",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080964631",
"country_code": "US",
"telephone_number": "856-628-4504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTONISON",
"first_name": "LAUREN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00515000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Deptford, NJ
- Brenda L Allgood, RN, CPNP
- Amy Degirolamo LLC Therapy
- Nicole Anderson, LAC
- Nicole Andrews, PT, DPT
- Ansible Health Medical Group of New Jersey PC
- Amy Aquino, APN
- Assoc. for Retarded Citizens, Inc. Gloucester County
- Assoc. for Retarded Citizens, Inc. Gloucester County
- Assoc. for Retarded Citizens, Inc. Gloucester County
- Association for Retarded Citizens, Inc. Gloucester County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.