Provider Demographics
NPI:1992022420
Name:JAMES L. AMATO, M.D. , P.A.
Entity Type:Organization
Organization Name:JAMES L. AMATO, M.D. , P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:973-678-7227
Mailing Address - Street 1:276 PROSPECT ST
Mailing Address - Street 2:
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:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA19500261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1500601Medicaid
NJ1500601Medicaid
NJ051496Medicare PIN