Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Antonio Loccisano Jr., DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1508363243

Dr. Antonio Loccisano Jr., DO is a Sports Medicine in Medford, New Jersey. Qualified in 2018, 8 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

131 Route 70 Ste 100A
Medford, NJ 08055-9501
Phone: (609) 267-9400
Fax: (609) 451-5518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 243 Us Highway 130 Ste 100, Bordentown, NJ 08505-2137 — (609) 267-9400

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 25MB11476300 (NJ)

Record details

NPI number1508363243
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare