Individual provider Active NPI

Edsel Antonio, DO

  • Obstetrics & Gynecology Physician
  • Mountainside, NJ
National Provider Identifier
1265790752
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09742100 Issued in NJ
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

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150917002052 NJ Practitioner - Obstetrics/Gynecology 5092022418 Reassigns benefits to 4 organizations
I20240607000249 CA Practitioner - Obstetrics/Gynecology 5092022418 Reassigns benefits to 3 organizations

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
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 926-7300

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
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

LicenseStateTypeSpecialty
21927CAMDClinical Social Worker
25MB09742100NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Apr 28, 2024 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Nov 1, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Nov 1, 2015 Accepting new patients
Sonora Community Hospital Obstetrics & Gynecology CurrentSince Apr 28, 2024 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2022 Accepting new patients
Pinnacle Health Medical Services Obstetrics & Gynecology Current Accepting new patients
Sonora Community Hospital CurrentSince Apr 28, 2024 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 3, 2024 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2022 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Aris Aesthetic Gynecology Obstetrics & Gynecology PastSince Nov 21, 2021 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

  • Direct secure messaging: eantonio229302@epicdirect.rwjbh.org
  • Direct secure messaging: edsel.antonio@direct.christhospital.md
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.