Shiby Antony
Nurse Practitioner, Family in Newark, NJ. Individual provider (NPI-1).
NPI number1497323927
StatusActive
Last updated in NPPESMar 18, 2022
Details
- NPI
- 1497323927
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shiby Antony
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Mar 18, 2022
- Last updated
- Mar 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ01131900 | NJ | Yes |
Practice location
150 Bergen StNewark, NJ 07103-2496
Phone 973-372-5123
Mailing address
150 Bergen StNewark, NJ 07103-2496
Phone 201-920-9485
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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