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

Michelle Antonucci, PA

Individual provider Physician Assistant · NPI 1619497658

Michelle Antonucci, PA is a Physician Assistant in Belleville, New Jersey. Qualified in 2017, 9 years ago. Practices with Rwjbh Emergency Medicine Associates, LLC, a 807-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Clara Maass Dr
Belleville, NJ 07109
Phone: (973) 450-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00437300 (NJ)

Record details

NPI number1619497658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESJuly 26, 2018
Mailing address425 Memorial Pkwy, Bloomfield, NJ 07003-4266

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rwjbh Emergency Medicine Associates, Llc — 807 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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