Active NPIIndividual provider

Dr. Andrea B Antonelli, OD

Optometrist in Montclair, New Jersey

NPI Number1902110455
Practice location
547 Valley RD, Montclair, NJ 07043-1880
Fax
973-783-6448
Last updated
December 5, 2024

Andrea B. Antonelli is an Optometrist based in Montclair, NJ. Andrea B. Antonelli practices in Montclair, NJ and has the professional credentials of OD. The NPI Number for Andrea B. Antonelli is 1902110455 and holds a License No. TUV007489-1 (NY). The current practice location address for Andrea B. Antonelli is 547 Valley RD, Montclair, NJ 07043-1880 and can be reached out via phone at 973-783-6446 and via fax at 973-783-6448.

Provider Profile Details

NPI Number
1902110455
Provider Name
Andrea B. Antonelli
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
547 Valley RD, Montclair, NJ 07043-1880
Phone Number
973-783-6446
Fax Number
973-783-6448
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2010
Last Update Date
December 5, 2024
Certification Date
December 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
547 Valley RD
Montclair, NJ 07043-1880
Zip
07043-1880
Phone Number
973-783-6446
Fax Number
973-783-6448
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
547 Valley RD
Montclair, NJ 07043-1880
City
Montclair
State
NJ
Zip
07043-1880
Phone Number
973-783-6446
Fax Number
973-783-6448

License Information

License Number
TUV007489-1
License State
NY
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Montclair, NJ

View all Optometrists in Montclair →

Frequently Asked Questions

What is the NPI number of Dr. Andrea B Antonelli, OD?

The NPI number of Dr. Andrea B Antonelli, OD is 1902110455. It was assigned on July 27, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrea B Antonelli, OD?

Dr. Andrea B Antonelli, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV007489-1.

Where does Dr. Andrea B Antonelli, OD practice?

The practice location is 547 Valley RD, Montclair, NJ 07043-1880. The office can be reached at 973-783-6446 (phone) or 973-783-6448 (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 1902110455 directly on the NPPES registry website.

Browse related providers