MICHELLE ANTONOWICZ M.D. NPI 1780683128

NPI Information

  • NPI: 1780683128
  • Provider Name: MICHELLE ANTONOWICZ, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 BAY AVE
    MONTCLAIR, NJ
    ZIP 07042
  • Phone: (973) 429-6000

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NPI Details

Michelle Antonowicz, M.D. is an emergency medicine in Montclair, NJ with 29 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Michelle Antonowicz, M.D. NPI is 1780683128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1996

The provider's business location address is:

1 BAY AVE
MONTCLAIR, NJ
ZIP 07042-837
Phone: (973) 429-6000

The NPI 1780683128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 5/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine25MA07150800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H31313MEDICARE UPIN
2045292OTHERNEW JERSEYMEDICARE
38398607MEDICAIDNEW JERSEY
4045292MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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