MR. DAVID JAMES ANTONINI JR. (NPI# 1184116659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184116659 |
| Entity Type | Individual |
| Full Name | MR. DAVID JAMES ANTONINI JR. |
| Practice Address |
100 Oswego Ave Audubon NJ 08106-2051 |
| Practice Telephone | 8562099109 |
| Mailing Telephone | 8562099109 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 1652154 | NJ | Agencies |
| Street Address |
100 OSWEGO AVE |
| City | AUDUBON |
| State | NJ |
| Zip Code | 08106-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558897900 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Payson Ave, Audubon, NJ 08106 | 2017-05-04 |
| 1447798608 | Jersey Vision Center | Optometrist | 130 Blackhorse Pike, Audubon, NJ 08106 | 2017-02-08 |
| 1154776920 | Vanessa Andricola | Pharmacist | Rte 168 and Black Horse Pike, Audubon, NJ 08106 | 2016-04-29 |
| 1679709653 | Michelle L. Richardson | Social Worker | 730 S White Horse Pike, Audubon, NJ 08106 | 2009-06-04 |
| 1346457397 | Audubon Oral Health Center | Dentist | 100 Blackhorse Pike, Suite D-4, Audubon, NJ 08106 | 2007-05-17 |
| 1356431522 | Rosario Charles Patti | Podiatrist | 267 South White Horse Pike, Audobon, NJ 08106 | 2006-10-16 |
| 1144318858 | Francis Lopes | Family Medicine | 141 S White Horse Pike, Audubon, NJ 08106 | 2006-10-10 |
| 1285732107 | Jeffrey H. Mcgunnigle, P.C. | Chiropractor | 510 S. White Horse Pike, Audubon, NJ 08106 | 2006-09-21 |
| 1952410458 | Indrani Sen Hightower | Psychiatry & Neurology | 739 South White Horse Pike, Suite 1, Audubon, NJ 08106 | 2006-08-29 |
| 1649219478 | Armando Antonio Montiel | Internal Medicine | 23 N White Horse Pk, Audubon, NJ 08106 | 2006-06-06 |
| Find all providers in zip 08106 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
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| 1629638838 | Legendary Support Coordination | Supports Brokerage | 136 Queen Ave, Woodbury Heights, NJ 08097-1635 | 2019-06-19 |
| 1225591944 | Work-4-all | Supports Brokerage | 12 Normans Ford Dr, Sicklerville, NJ 08081-5647 | 2019-04-09 |
| 1821553116 | Ernest Yeboah | Supports Brokerage | 4 Venus Rd, South Amboy, NJ 08879-2423 | 2019-01-31 |
| 1770051450 | Rafael Mendoza | Supports Brokerage | 39 Fostertown Ln, Mullica Hill, NJ 08062-2205 | 2018-11-11 |
| 1235604414 | Global Care New Jersey LLC | Supports Brokerage | 58 Concord Blvd, Sicklerville, NJ 08081-9642 | 2018-10-03 |
| 1447735683 | Absolute Advanced Care | Supports Brokerage | 56 Bloomingdale Ave, Garfield, NJ 07026-3421 | 2018-10-02 |
| 1235616608 | Coker D Taylor IIi | Supports Brokerage | 48 Normandy Ln, Willingboro, NJ 08046-1308 | 2018-07-27 |
| 1306339882 | Frontier Travel LLC | Supports Brokerage | 190 N Park St # 2, East Orange, NJ 07017-1800 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.