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

Mr. Angelito Antonio, NP-C

Individual provider Adult Health Clinical Nurse Specialist · NPI 1972743698

Mr. Angelito Antonio, NP-C is a Nurse Practitioner in Wayne, New Jersey. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in New Jersey and New York.

Years since qualifying
14
Licensed in
NJ, NY
In the registry since
2009
Specialties on file
5
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

930 Valley Rd
Wayne, NJ 07470
Phone: (973) 696-3868
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ00260500 (NJ)
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X · Licence 26NJ00260500 (NJ)
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X · Licence F305268-1 (NY)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence F340760-1 (NY)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 26NJ00260500 (NJ)

Record details

NPI number1972743698
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedFebruary 21, 2009
Last updated in NPPESJune 20, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare