Individual
THOMAS W MATERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 FERRY ST, NEWARK, NJ 07105-1420
(973) 589-0104
(973) 589-5084
Mailing address
87 LORRAINE AVE, UPPER MONTCLAIR, NJ 07043-2304
(973) 744-4265
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA03400000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061280694
TAX ID
NJ
05
—
1465201
—
NJ
Enumeration date
02/05/2007
Last updated
01/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us