Provider Demographics
NPI:1689627267
Name:AMATO, JAMES L SR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:AMATO
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:276 PROSPECT ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-2889
Mailing Address - Country:US
Mailing Address - Phone:973-678-7227
Mailing Address - Fax:973-678-0309
Practice Address - Street 1:276 PROSPECT ST
Practice Address - Street 2:SUITE #1
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-2889
Practice Address - Country:US
Practice Address - Phone:973-678-7227
Practice Address - Fax:973-678-0309
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-09-17
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Provider Licenses
StateLicense IDTaxonomies
NJMA19500207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1500601Medicaid
NJ051496Medicare PIN
NJ1500601Medicaid