Individual provider Active NPI

Anthony F Orlando, PA-C

  • Medical Physician Assistant
  • Woodbury, NJ
National Provider Identifier
1457460743
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00134200 Issued in NJ
Practice address
608 N Broad St
Suite 100
Woodbury, NJ 08096-1794
Phone
(856) 848-1307
Fax
(856) 848-1682
NPI assigned
Aug 30, 2006
Last updated
Jul 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00134200 NJ Primary

Addresses

Primary practice location

608 N Broad St
Suite 100
Woodbury, NJ 08096-1794

Mailing address

608 N Broad St
Suite 100
Woodbury, NJ 08096-1794
Phone (856) 848-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001125 NJ Practitioner - Physician Assistant 7911193917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00134200NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Rogers MD PA PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1457460743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N BROAD ST",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961794",
            "telephone_number": "856-848-1307",
            "fax_number": "856-848-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N BROAD ST",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961794",
            "telephone_number": "856-848-1307",
            "fax_number": "856-848-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLANDO",
        "first_name": "ANTHONY",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00134200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.