Thomas W Materna, MD
Ophthalmology in Newark, New Jersey
1356480503- Practice location
- 20 Ferry St, Newark, NJ 07105-1420
- Phone
- 973-589-0104
- Fax
- 973-589-5084
- Last updated
- January 13, 2014
Thomas W Materna is an Ophthalmology based in Newark, NJ. Thomas W Materna practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Thomas W Materna is 1356480503 and holds a License No. 25MA03400000 (NJ). The current practice location address for Thomas W Materna is 20 Ferry St, Newark, NJ 07105-1420 and can be reached out via phone at 973-589-0104 and via fax at 973-589-5084.
Provider Profile Details
- NPI Number
- 1356480503
- Provider Name
- Thomas W Materna
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Ferry St, Newark, NJ 07105-1420
- Phone Number
- 973-589-0104
- Fax Number
- 973-589-5084
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 5, 2007
- Last Update Date
- January 13, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Ferry St
Newark, NJ 07105-1420 - City
- Newark
- State
- New Jersey
- Zip
- 07105-1420
- Phone Number
- 973-589-0104
- Fax Number
- 973-589-5084
Provider Business Mailing Address Details
- Address
- 87 Lorraine Ave
Upper Montclair, NJ 07043-2304 - City
- Upper Montclair
- State
- NJ
- Zip
- 07043-2304
- Phone Number
- 973-744-4265
License Information
- License Number
- 25MA03400000
- License State
- NJ
- Taxonomy
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Thomas W Materna, MD?
The NPI number of Thomas W Materna, MD is 1356480503. It was assigned on February 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Thomas W Materna, MD?
Thomas W Materna, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA03400000.
Where does Thomas W Materna, MD practice?
The practice location is 20 Ferry St, Newark, NJ 07105-1420. The office can be reached at 973-589-0104 (phone) or 973-589-5084 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356480503 directly on the NPPES registry website.