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Export Provider Record NPI 1265790752
Edsel AntonioDO
Active
NPI Number1265790752
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1265790752
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2012-05-02
Last Updated2018-01-26
Mailing Address285 Durham Ave, Ste 1a
South Plainfield, NJ 07080-2555
United States
Phone: (973) 762-7270 | Fax: (973) 762-1980
📍 View Map
Primary Practice Address201 Lyons Ave, Ob/gyn Dept
Newark, NJ 07112-2027
United States
Phone: (973) 926-4882
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyNJ25MB09742100
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About NPI 1265790752

Edsel Antonio DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1265790752. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Newark, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-05-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265790752?

NPI 1265790752 belongs to Edsel Antonio DO, a Obstetrics & Gynecology in Newark, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265790752 active?

The current status of NPI 1265790752 in the NPPES registry is Active. The record was last updated on 2018-01-26.

What specialty is NPI 1265790752?

NPI 1265790752 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265790752?

You can verify NPI 1265790752 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265790752?

The primary practice address on file for NPI 1265790752 is 201 Lyons Ave, Newark, NJ 07112-2027. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265790752 issued?

NPI 1265790752 was first issued (enumerated) on 2012-05-02. The NPPES record was last updated on 2018-01-26.

Practice Location Map

Edsel Antonio is located at 201 Lyons Ave, Newark, NJ. Use the map below to find directions or verify the practice location.

📍 201 Lyons Ave, Newark, NJ 07112-2027  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Edsel Antonio. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1265790752. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & Gynecology25MB09742100NJ
Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162