Audelie Antoine, APN
Individual provider Active NPI Adult Health Nurse Practitioner · Lodi, NJ
NPI 1861263196 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1861263196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ14967800 (NJ)
- Practice address
- 67 Norwood Ave
Lodi, NJ 07644-2107 - Phone
- (973) 816-4494
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Consonant Healing Medical Associates of NJ LLC
Healing Partners Plus PLLC
Practice addresses (Care Compare)
100 Challenger Rd
Suite 205
Ridgefield Park, NJ 07660-2108
Phone (443) 383-9300
331 Newman Springs Rd
Suite 320
Red Bank, NJ 07701-6671
Phone (888) 402-0202
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240209002288 | NJ | Practitioner - Nurse Practitioner | 2264875970 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Medical Associates of NJ LLC | Current |
Accepting new patients | |
| Healing Partners Plus PLLC | Current |
Accepting new patients | |
| Senf NP Family Medicine PLLC | Past | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
331 Newman Springs Rd
Ste 320
Red Bank, NJ 07701
Phone (646) 450-7641
100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660
100 Challenger Rd
Ridgefield Park, NJ 07660
Phone (201) 801-6200
100 Challenger Rd
#205
Ridgefield Pk, NJ 07660
2381 Lawrenceville Rd
Trenton, NJ 08648
Phone (609) 896-8152
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ14967800 | NJ | Yes |
Addresses
Primary practice location
67 Norwood Ave
Lodi, NJ 07644-2107
Mailing address
67 Norwood Ave
Lodi, NJ 07644-2107
Phone (973) 816-4494
Other providers in Lodi, NJ
- Wafa M Ali
- Aliado Community Health
- Alliance Hand and Physical Therapy, P.C.
- Allies, Inc.
- Andleeb Shabahat DDS LLC
- Kim Antonio
- Roy Argana
- Kristin Assia
- Axiom Medical Supplies Inc
- Ehab Aziz
All providers in Lodi, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.