Provider Demographics
NPI:1679563621
Name:ANTHONY T OROPOLLO MD PA
Entity Type:Organization
Organization Name:ANTHONY T OROPOLLO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:T
Authorized Official - Last Name:OROPOLLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-746-4644
Mailing Address - Street 1:123 STONEBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-1640
Mailing Address - Country:US
Mailing Address - Phone:973-746-4644
Mailing Address - Fax:973-744-3189
Practice Address - Street 1:123 STONEBRIDGE RD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-1640
Practice Address - Country:US
Practice Address - Phone:973-746-4644
Practice Address - Fax:973-744-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA017084207L00000X, 207QA0505X
NJ25MA01708400207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
668187Medicare ID - Type Unspecified
C53175Medicare UPIN