Healthcare Provider Details

I. General information

NPI: 1164578894
Provider Name (Legal Business Name): ASSOCIATED RETINAL CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CENTURIAN DR STE 114
NEWARK DE
19713-2154
US

IV. Provider business mailing address

420 MOUNTAIN AVE FL 4
NEW PROVIDENCE NJ
07974-2736
US

V. Phone/Fax

Practice location:
  • Phone: 908-458-8333
  • Fax:
Mailing address:
  • Phone: 908-458-8333
  • Fax: 908-967-5488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN MADREPERLA
Title or Position: OWNER/CEO
Credential: MD, PHD
Phone: 908-458-8333