Individual provider Active NPI

Joseph Deantonio, M.D.

  • Gastroenterology Physician
  • Lawrenceville, NJ
National Provider Identifier
1295745859
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA05619900 Issued in NJ
Practice address
3100 Princeton Pike
BLDG 4, Suite C
Lawrenceville, NJ 08648
Phone
(609) 882-2185
Fax
(609) 882-0347
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA05619900 NJ Primary

Addresses

Primary practice location

3100 Princeton Pike
BLDG 4, Suite C
Lawrenceville, NJ 08648

Mailing address

PO Box 914
Pennington, NJ 08534-0914
Phone (609) 882-2185

Other identifiers 1

IdentifierTypeStateIssuer
4515200MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000379 NJ Practitioner - Gastroenterology 0941363121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Saint Louis University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3100 Princeton Pike
4C
Lawrenceville, NJ 08648-2381

3100 Princeton Pike
Suite C
Lawrenceville, NJ 08648-2300
Phone (609) 882-2185

Hospital & facility affiliations

  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05619900NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Gastroenterology, PA Gastroenterology CurrentSince Jul 18, 1991 Accepting new patients
Mercer Bucks Hematology/Oncology PC Past Accepting new patients

Locations

3100 Princeton Pike
Ste C
Lawrenceville, NJ 08648
Phone (609) 882-2185

3100 Princeton Pike
Ste 4C
Lawrenceville, NJ 08648
Phone (609) 882-2185

Interoperability endpoints

  • Direct secure messaging: joseph.deantonio@lawrencegastroenterolog.ehi.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1295745859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085340914",
            "telephone_number": "609-882-2185",
            "fax_number": "609-882-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 4, SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-882-2185",
            "fax_number": "609-882-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANTONIO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA05619900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4515200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.