Active NPI
Edsel Antonio, DO
- Obstetrics & Gynecology Physician
- Mountainside, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MB09742100
- Practice address
- 200 Sheffield St Ste 206
Mountainside, NJ 07092-2315 - Phone
- (973) 447-4746
- NPI assigned
- May 2, 2012
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MB09742100 | NJ | Primary |
Addresses
Primary practice location
200 Sheffield St Ste 206
Mountainside, NJ 07092-2315
Mailing address
200 Sheffield St Ste 206
Mountainside, NJ 07092-2315
Phone (973) 447-4746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 926-7300
Hospital & facility affiliations
- Newark Beth Israel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21927 | CA | MD | Clinical Social Worker |
| 25MB09742100 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Sonora Community Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Obstetrics & Gynecology | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| OB Hospitalist Services New Jersey, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients | |
| Aris Aesthetic Gynecology | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785
900 Greenley Rd
Ste 922
Sonora, CA 95370
Phone (209) 536-3738
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
65 James St
Edison, NJ 08820
Phone (732) 321-7010
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
201 Lyons Ave
Ste L4
Newark, NJ 07112
Phone (973) 926-7205
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
120 Irvington Ave
South Orange, NJ 07079
Phone (973) 275-0025
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
409 S 2nd St
Ste F
Harrisburg, PA 17104
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
Interoperability endpoints
- eantonio229302@epicdirect.rwjbh.org
- edsel.antonio@direct.christhospital.md
- aedsel708908@ahs.direct-ci.com
Organizations & group practices 18
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1033210323
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
-
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
- Obstetrics & Gynecology Physician
- Irvington, NJ
- NPI 1588321061
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Psychiatric Hospital Unit
- Newark, NJ
- NPI 1043457955
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1265790752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SHEFFIELD ST STE 206",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922315",
"telephone_number": "973-447-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SHEFFIELD ST STE 206",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922315",
"telephone_number": "973-447-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONIO",
"first_name": "EDSEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-02",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MB09742100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.