Anthony Antonello Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD044041E Issued in PA

Practice address

1098 W Baltimore Pike
Suite 3302
Media, PA 19063-5139

Phone

(610) 565-6780

Fax

(610) 565-9390

NPI assigned

Jun 17, 2005

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Drexel University College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riddle Eye Associates P CGroup PAC ID 1254319148, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Merit-based Incentive Payment System (MIPS)

Final score

94.67 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

77.63

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Riddle Eye Associates P C

  • Ophthalmology Physician
  • Media, PA
  • NPI 1346298536
  Medicare reassignment Care Compare group NPD
• Riddle Eye Associates PC

  • Optometrist
  • Media, PA
  • NPI 1841543030
  NPD Authorized official
• Dion R. Ehrlich, M.D., LTD.

  • Ophthalmology Physician
  • Abington, PA
  • NPI 1326095845
  NPD (past)
• Eye to Eye Ophthalmology

  • Ophthalmology Physician
  • Kennett Square, PA
  • NPI 1255524237
  NPD (past)

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

• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1548265374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3302",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-565-6780",
            "fax_number": "610-565-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3302",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-565-6780",
            "fax_number": "610-565-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD044041E",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD-044041-E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001174031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Bernhard Anderson, M.D.
• Tamikio P Anderson, FNP
• Cassandra Angelo
• Meghan Mary Angelos, CRNP
• Nora Rose Anger, LPC
• Russel C Applegate, MD
• Rhea Joan Appleman, CRNA
• Mary Kathryn Arcari, PSY.D.
• Nina Francheska Arcilla
• Maria Katherine Argentine, MD

• Ophthalmology Physician in Media, PA
• Providers in Media, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.