Provider Demographics
NPI:1447380100
Name:ANTHONY J. INVERNO, MD
Entity Type:Organization
Organization Name:ANTHONY J. INVERNO, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:INVERNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-381-5555
Mailing Address - Street 1:95 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2451
Mailing Address - Country:US
Mailing Address - Phone:732-381-5555
Mailing Address - Fax:732-381-5055
Practice Address - Street 1:95 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2451
Practice Address - Country:US
Practice Address - Phone:732-381-5555
Practice Address - Fax:732-381-5055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA26396156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1279408Medicaid
NJ181094Medicare ID - Type Unspecified
NJC58304Medicare UPIN
NJG13492Medicare UPIN
NJ048020Medicare ID - Type Unspecified
NJ046114Medicare ID - Type Unspecified
NJ1279408Medicaid