Provider Demographics
NPI:1346446887
Name:ANTHONY LANEVE, MD, LLC
Entity Type:Organization
Organization Name:ANTHONY LANEVE, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANEVE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:973-785-3334
Mailing Address - Street 1:275 PATERSON AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-5627
Mailing Address - Country:US
Mailing Address - Phone:973-785-3334
Mailing Address - Fax:
Practice Address - Street 1:275 PATERSON AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-5627
Practice Address - Country:US
Practice Address - Phone:973-785-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0147290Medicaid
NJ118275Medicare PIN