Healthcare Provider Details

I. General information

NPI: 1992022420
Provider Name (Legal Business Name): JAMES L. AMATO, M.D. , P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 PROSPECT ST
EAST ORANGE NJ
07017-2889
US

IV. Provider business mailing address

276 PROSPECT ST
EAST ORANGE NJ
07017-2889
US

V. Phone/Fax

Practice location:
  • Phone: 973-678-7227
  • Fax: 973-678-0309
Mailing address:
  • Phone: 973-678-7227
  • Fax: 973-678-0309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMA19500
License Number StateNJ

VIII. Authorized Official

Name: DR. JAMES L. AMATO SR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-678-7227