Antonella F Viterbo, MS,PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00178900 Issued in NJ

Practice address

135 Kinnelon Rd RM 103
Kinnelon, NJ 07405-2333

Phone

(973) 838-1771

Fax

(973) 492-2858

NPI assigned

May 15, 2007

Last updated

May 11, 2021By the provider in NPPES

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

Other identifiers 1

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kuflik Dermatology PAGroup PAC ID 6901891654, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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.

• Kuflik Dermatology, P. a.

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1174637722
  Medicare reassignment Care Compare group
• Kinnelon Dermatology Associates PC

  • Dermatology Physician
  • Kinnelon, NJ
  • NPI 1679804330
  Medicare reassignment
• Jo-Ann Szylit, MD

  • Dermatology Physician
  • Kinnelon, NJ
  • NPI 1215972393
  NPD (past)
• Premier Pain Centers, LLC.

  • Pain Medicine (Anesthesiology) Physician
  • Shrewsbury, NJ
  • NPI 1801987078
  NPD (past)
• Princeton Dermatology Associates Kendall Parkpc

  • Dermatology Physician
  • Somerset, NJ
  • NPI 1770540890
  NPD (past)

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

• HMH Hospitals Corporation

  dba Ocean Medical Center

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1760698617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAXIM COURT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "215-584-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KINNELON RD RM 103",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052333",
            "telephone_number": "973-838-1771",
            "fax_number": "973-492-2858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "08707",
            "country_code": "US",
            "telephone_number": "732-364-0515",
            "fax_number": "732-364-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITERBO",
        "first_name": "ANTONELLA",
        "middle_name": "F",
        "credential": "MS,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00178900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "223777917",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Jean Vail, LPC
• Vandenberg Transport LLC
• Anafaye Vandenberg, RDA
• Judith Ann Vartelas, LCSW
• Viju Vijaysadan, M.D.
• Anne Hermanowski Vosatka, MD, PHD
• Walgreen Co (Walgreens #19207)
• Thomas William Walters IV, PT, DPT, CSCS, PES
• Gail A. Wasserman, PH.D.
• Wayne Fleishhacker, DO, LLC

• Physician Assistant in Kinnelon, NJ
• Providers in Kinnelon, 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 May 11, 2021; 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.