MEDICARE: DR. IVAN LENDVAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	200070	NY
2	2084P0800X	Psychiatry Physician	25MA06141800	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	31-4011	OTHER	NJ	UBHC MEDICARE
3	260044578	OTHER		RAILROAD MEDICARE
5	P00602034	OTHER	NY	RAILROAD MEDICARE
6	DN0541	OTHER	NY	RAILROAD MEDICARE GRP. #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477537769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IVAN LENDVAI MD

Provider Business Mailing Address
First Line	:	671 HOES LN W
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-8021
Country	:	US
Telephone Number	:	732-235-3289
Fax Number	:	732-235-4485

Provider Business Practice Location Address
First Line	:	4326 US ROUTE 1 N
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852
Country	:	US
Telephone Number	:	732-235-5910
Fax Number	:	732-235-5644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	03/21/2013

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Directions to “ DR. IVAN LENDVAI MD” Practice Location

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