Anthony J. Inverno, MD

Organization Active NPI Ophthalmic Technician/Technologist · Clark, NJ

NPI 1447380100 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1447380100
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmic Technician/Technologist 156FX1100X
License
MA26396 (NJ)
Legal business name
ANTHONY J. INVERNO, MD
Practice address
95 Westfield Ave
Clark, NJ 07066-2451
Phone
(732) 381-5555
Fax
(732) 381-5055
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Dr. Anthony J Inverno, MD
Title
Owner
Phone
(732) 381-5555

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

95 Westfield Ave
Clark, NJ 07066
Phone (732) 381-5555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist
Group: 193400000X SINGLE SPECIALTY GROUP
156FX1100X MA26396 NJ Yes

Addresses

Primary practice location

95 Westfield Ave
Clark, NJ 07066-2451

Mailing address

95 Westfield Ave
Clark, NJ 07066-2451
Phone (732) 381-5555

Other identifiers

IdentifierTypeStateIssuer
1279408MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447380100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662451",
            "telephone_number": "732-381-5555",
            "fax_number": "732-381-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662451",
            "telephone_number": "732-381-5555",
            "fax_number": "732-381-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. INVERNO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INVERNO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-381-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NJ",
            "license": "MA26396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1279408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

All providers in Clark, NJ · Ophthalmic Technician/Technologist in New Jersey

Sources for this page

Verify at the official NPI Registry.