Antonios Elias Leontaris, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00610900 Issued in NJ

Practice address

254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413

Phone

(908) 852-6400

NPI assigned

Aug 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526
  Medicare reassignment Care Compare group
• The Doctor Is in, PA

  • Family Medicine Physician
  • Clinton, NJ
  • NPI 1396854006
  Medicare reassignment
• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Boonton, NJ
  • NPI 1003196858

  Multi-Specialty

  NPD
• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Vernon, NJ
  • NPI 1508297680
  NPD
• Primary Care Partners LLC

  • Pediatrics Physician
  • Sparta, NJ
  • NPI 1669885711
  NPD (past)

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

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419
  Care Compare affiliation

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1679240782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000, LB#7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE STE 100",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-852-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONTARIS",
        "first_name": "ANTONIOS",
        "middle_name": "ELIAS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00610900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Meekyung Lee, PHARMD
• Steven T Lee, M.D.
• Leonard a Feitell MD LLC
• Leong Hean Tan MD PA
• Tanya Leonhardt
• Mary-Michael Levitt, ED.S, LMFT, LPC
• Min-Min Li-Ah-Kim, FNP
• Jonathan Adam Liegner, DMD
• Bryan Linares
• Casimiera Liobe, APN

• Physician Assistant in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.