ANTONELLA F VITERBO (MS,PA-C) – Physician Assistant, NPI 1760698617
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,606 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for ANTONELLA F VITERBO (MS,PA-C)
East Kennedy Boulevard, Lakewood Township, Ocean County, New Jersey, 08701, United States
LAKEWOOD, NJ 08707
Phone: (732) 364-0515
Fax: (732) 364-6006
Type: Location
135 KINNELON RD RM 103
KINNELON, NJ 074052333
Phone: (973) 838-1771
Fax: (973) 492-2858
Type: Location
20, Maxim Court, Van Hiseville, Jackson Township, Ocean County, New Jersey, 08527, United States
JACKSON, NJ 08527
Phone: (215) 584-6731
Type: Mailing
150 E Kennedy Blvd
Lakewood, NJ 08707
Phone: (732) 364-0515
Fax: (732) 364-6006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 203 Open Payments records for all available years, with a total value of $2,860.
Total Amount is formed as General ($2,860) + Research ($0) + Ownership ($0) = $2,860.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($523).
Total Amount
$2,860
General + Research + Ownership
Payments
203
Total payment records
General Amount
$2,860
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $523 |
| Janssen Biotech, Inc. | $451 |
| ABBVIE INC. | $304 |
| MAYNE PHARMA COMMERCIAL LLC | $298 |
| Arcutis Biotherapeutics, Inc. | $252 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071008000130 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,865 | 312 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 621 | 526 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 559 | 387 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 545 | 403 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 495 | 407 | $0 |
Insurance plans in this area (ZIP 08707)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NJ | 11101 | Biopsy of each additional growth of skin and/or tissue | 165 | 119 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ |
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