Provider Demographics
NPI:1477537769
Name:LENDVAI, IVAN (MD)
Entity type:Individual
Prefix:DR
First Name:IVAN
Middle Name:
Last Name:LENDVAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 HOES LN W
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-8021
Mailing Address - Country:US
Mailing Address - Phone:732-235-3289
Mailing Address - Fax:732-235-4485
Practice Address - Street 1:4326 US ROUTE 1 N
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852
Practice Address - Country:US
Practice Address - Phone:732-235-5910
Practice Address - Fax:732-235-5644
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2000702084P0800X
NJ25MA061418002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01765504Medicaid
NJ31-4011OtherUBHC MEDICARE
260044578OtherRAILROAD MEDICARE
NJ4144007OtherMEDICAID UBHC
NYP00602034OtherRAILROAD MEDICARE
NYDN0541OtherRAILROAD MEDICARE GRP. #
NY01765504Medicaid
NYP00602034OtherRAILROAD MEDICARE
NY070801Medicare PIN