THOMAS W MATERNA (NPI# 1356480503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356480503 |
| Entity Type | Individual |
| Full Name | THOMAS W MATERNA |
| Credential | M.D. |
| Practice Address |
20 Ferry St Newark NJ 07105-1420 |
| Mailing Address |
87 Lorraine Ave Upper Montclair NJ 07043-2304 |
| Practice Telephone | 9735890104 |
| Practice Fax Number | 9735895084 |
| Mailing Telephone | 9737444265 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25MA03400000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | TAX ID | 061280694 | 01 |
| NJ | 1465201 | 05 |
| Street Address |
20 FERRY ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386770493 | Julio Alejandro Hubert | Internal Medicine | 20 Ferry St, Newark, NJ 07105-1420 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891834297 | Center for Sight, Inc | Ophthalmology | 1717 W Main St., Suite 100, Newark, OH 43055-3681 | 2007-02-05 |
| 1720098320 | University Physician Associates of New Jersey Inc | Ophthalmology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1588687743 | Shahin Shahinfar | Ophthalmology | 1651 West Main Street, Newark, OH 43055-1345 | 2006-07-26 |
| 1487676284 | Frank R Owczarek | Ophthalmology | 4102 Ogletown-stanton Road, Suite 1, Newark, DE 19713-4169 | 2006-07-24 |
| 1003835802 | Ronald Rescigno | Ophthalmology | 90 Bergen Street, Doc 6100, Newark, NJ 07103 | 2006-07-19 |
| 1881636173 | Erwin D Suh | Ophthalmology | 94a Omega Dr, Newark, DE 19713-2066 | 2006-06-12 |
| 1861499303 | Neil Scott Kalin | Ophthalmology | 314 E Main St, Newark, DE 19711-7128 | 2005-06-30 |
| 1003812454 | Mary Susan Napoleon | Ophthalmology | 1210 Driving Park Ave, Newark, NY 14513-1057 | 2005-06-21 |
| 1760485734 | Elliot Davidoff | Ophthalmology | 1371 W Main St, Newark, OH 43055-3681 | 2005-05-24 |
| 1548507973 | Surgical Eye Associates of Delaware, LLC | Ophthalmology | 4102 Ogletown Stanton Rd, Suite 1, Newark, DE 19713-4181 | 2013-01-04 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.