Provider Demographics
NPI:1861948218
Name:KAMEL, ANTONIO F (PA)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:F
Last Name:KAMEL
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 PATERSON AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1841
Mailing Address - Country:US
Mailing Address - Phone:201-500-9450
Mailing Address - Fax:201-500-9451
Practice Address - Street 1:196 PATERSON AVE STE 302
Practice Address - Street 2:
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-1841
Practice Address - Country:US
Practice Address - Phone:201-500-9450
Practice Address - Fax:201-500-9451
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019883363A00000X
NJ25MP00654600207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery