Provider Demographics
NPI:1255307633
Name:ARMENTO, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:ARMENTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 NEW PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2590
Mailing Address - Country:US
Mailing Address - Phone:908-301-5547
Mailing Address - Fax:908-301-5456
Practice Address - Street 1:150 NEW PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2590
Practice Address - Country:US
Practice Address - Phone:908-301-5547
Practice Address - Fax:908-301-5456
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA054818002081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1K7799OtherHEALTHNET
NJ01000312501OtherAMERICHOICE
NJ1096732OtherHORIZON NJ HEALTHCARE
NJ18211OtherUNIVERSITY HEALTHPLANS
NJ221487148-020OtherQUALCARE
NJ5727578OtherAETNA HEALTHCARE
NJP2136441OtherOXFORD HEALTH PLANS
NJ58654OtherAMERIGROUP
NJ9909871OtherCIGNA HEALTHCARE
NJS51B01OtherEMPIRE
NJP2136441OtherOXFORD HEALTH PLANS
NJ58654OtherAMERIGROUP