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Jose R Antillon

Pediatric Cardiologist

90 Bergen St Doc 5100
Newark , New Jersey 07103-2425

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Jose R Antillon

Pediatric Cardiologist

90 Bergen St Doc 5100
Newark , New Jersey 07103-2425

Write a Review Save Call

Jose R Antillon

Pediatric Cardiologist

90 Bergen St Doc 5100
Newark , New Jersey 07103-2425

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Cardiologist

Languages spoken

  • English

Location

90 Bergen St Doc 5100 Newark , New Jersey 07103-2425

First Address

  • Jose R Antillon
  • 30 Bergen St Admc 12 1205
  • Newark, NJ
  • Zip : 07107-3000
  • Phone :

Second Address

  • Jose R Antillon
  • 90 Bergen St Doc 5100
  • Newark, NJ
  • Zip : 07103-2425
  • Fax : (973) 972-5895
  • Phone : (973) 972-5779

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FAQs


Where did Jose R Antillon attend graduate school?

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Where did Jose R Antillon do his residency?

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Where did Jose R Antillon do his fellowship?

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Is Jose R Antillon board certified?

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What type of doctor is Jose R Antillon

Pediatric Cardiologist

In what state does Jose R Antillon practice in?

New Jersey

Where is Jose R Antillon ’s practice located?

90 Bergen St Doc 5100 , Newark, New Jersey, 07103-2425

What is Jose R Antillon ’s gender?

Male

Is Jose R Antillon a sole practitioner?

No

Is Jose R Antillon accepting new patients?

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What languages does Jose R Antillon speak?

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Does Jose R Antillon accept insurance?

Yes, Jose R Antillon accepts insurance

Does Jose R Antillon offers telemedicine?

Jose R Antillon has not indicated if he offers telemedicine

What is Jose R Antillon ’s professional license number?

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What is Jose R Antillon ’s NPI number?

1114134715

Does Jose R Antillon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080P0202X Pediatric Cardiologist 25MA02220500 NJ

National Provider Identifier

NPI 1114134715
Provider Name Jose R Antillon
First Address Newark, NJ 07107-3000
Second Address Newark, NJ 07103-2425
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/05/2007
Last Update Date 14/08/2009

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1595504 (05) NJ
C61191 (02) NJ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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