Individual provider Active NPI

Antoinette Deingeniis, DO

  • Family Medicine Physician
  • Kinnelon, NJ
National Provider Identifier
1922192517
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB062767 Issued in NJ
Practice address
25 Kinnelon Rd Ste K
Kinnelon, NJ 07405-2337
Phone
(973) 829-4080
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB062767 NJ Primary

Addresses

Primary practice location

25 Kinnelon Rd Ste K
Kinnelon, NJ 07405-2337

Mailing address

PO Box 416457
Boston, MA 02241-4671
Phone (844) 362-1735

Other practice location 1

468 Parish Drive
Suite 6
Wayne, NJ 07470
Phone (973) 686-2777

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000576 NJ Practitioner - Family Practice 6002008661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB062767NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Mountain Health, PA Family Medicine CurrentSince Jul 1, 1997 Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Vanguard Medical Group, PA Family Medicine PastSince Oct 1, 2016 Accepting new patients

Locations

25 Kinnelon Rd
Ste K
Kinnelon, NJ 07405
Phone (201) 416-4346

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

468 Parish Dr
Ste 1
Wayne, NJ 07470
Phone (973) 305-8300

468 Parish Dr
Wayne, NJ 07470
Phone (973) 305-8300

468 Parish Dr
Ste 6
Wayne, NJ 07470
Phone (973) 686-2777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1922192517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414671",
            "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": "25 KINNELON RD STE K",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-829-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 PARISH DRIVE",
            "address_2": "SUITE 6",
            "address_purpose": "LOCATION",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "country_code": "US",
            "telephone_number": "973-686-2777",
            "fax_number": "973-686-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEINGENIIS",
        "first_name": "ANTOINETTE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB062767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.