Vincent L. Di Antonio, APN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01413800 Issued in NJ

Practice address

714 E Main St Ste 1a
Moorestown, NJ 08057-3068

Phone

(856) 391-0032

Fax

(856) 249-9651

NPI assigned

Jan 20, 2022

Sex

Male

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Positive BeginningsGroup PAC ID 3678837358, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Beginnings

  • Psychiatry Physician
  • Voorhees, NJ
  • NPI 1154824043
  Medicare reassignment Care Compare group NPD
• Integrative Wellness and Health LLC

  dba Alpine Psychiatry

  • Psychiatry Physician
  • Mount Laurel, NJ
  • NPI 1326872920
  NPD (past)
• Mind Body Soul Wellness Center LLC

  • Professional Counselor
  • Collingswood, NJ
  • NPI 1487152542
  NPD (past)

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1396497475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190200985",
            "telephone_number": "215-650-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E MAIN ST STE 1A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573068",
            "telephone_number": "856-391-0032",
            "fax_number": "856-249-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI ANTONIO",
        "first_name": "VINCENT",
        "middle_name": "L.",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01413800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Horning Detwiler, DMD
• Sabrina Emily Deyhle, DO
• Dhaliwal Therapeutic Solutions LLC (Upward Pediatric Development)
• Maninder Dhaliwal
• Jasmine Dhanda
• Diamond Vision Care, LLC
• Kristin Dick, APN
• John H Diepold Jr., PH.D.
• Kristina Digaetano, OT
• Robert Dimaio, PT

• Psychiatric/Mental Health Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.