Nikoletta Antczak, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

570 South Ave E, BLDG G, Unit a
Cranford, NJ 07016-3200

Phone

(908) 272-7990

Fax

(833) 488-1207

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Health Primary Care of New Jersey PAGroup PAC ID 2567906373, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
• Direct secure messaging: nikoletta.antczak.1@25493.direct.athenahealth.com

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.

• Carbon Health Primary Care of New Jersey PA

  • Primary Care Clinic/Center
  • Howell, NJ
  • NPI 1720743529
  Medicare reassignment Care Compare group NPD
• Primary Care for the Homebound PA

  • Home Health Agency
  • Verona, NJ
  • NPI 1609206671
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1306544259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE E",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441730",
            "telephone_number": "973-559-3700",
            "fax_number": "833-484-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SOUTH AVE E, BLDG G, UNIT A",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163200",
            "telephone_number": "908-272-7990",
            "fax_number": "833-488-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTCZAK",
        "first_name": "NIKOLETTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Behavioral Health Cranford LLC
• Hayk Zar Andriasyan, LMT
• Anew Mental & Behavioral Health Services LLC
• Anisko Medical Associates LLC
• Andrew J. Anisko, M.D.
• Antobre Home Care Services LLC
• Ikenna Anyanwu, PMHNP
• Cynthia Arch, L.C.S.W.
• Ekta Arora-Davis
• Samantha Ashton, LAC, NCC

• Medical Physician Assistant in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.