Provider Demographics
NPI:1871567610
Name:MONTEIRO, ANTHONY C JR (DO)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:C
Last Name:MONTEIRO
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 CAMPUS DR FL 4
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1161
Mailing Address - Country:US
Mailing Address - Phone:732-937-8939
Mailing Address - Fax:
Practice Address - Street 1:379 CAMPUS DR FL 4
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1161
Practice Address - Country:US
Practice Address - Phone:732-937-8939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7441207V00000X
NJ25MB11162200207V00000X
MA212757207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTHREE RIVERS
160054172OtherRAILROAD MEDICARE
TX188580801Medicaid
409328OtherTUFTS HEALTH PLAN
042472266OtherTRICARE CHAMPUS
2015776OtherFIRST HEALTH
7899252OtherAETNA US HEALTHCARE
J24199OtherBLUE CARE ELECT
J24199OtherBLUE SHIELD HMO BLUE
MA0154911Medicaid
38146OtherHEALTHY START
63348OtherFALLON COMM HEALTH PLAN
AA6081OtherHARVARD PILGRIM
TX188580802Medicaid
784223OtherMVP HEALTH CARE
0700407OtherEVERCARE
042472266OtherUNITED HEALTHCARE
J24199OtherBLUE SHIELD INDEMNITY
042472266OtherONE HEALTH PLAN
7012123OtherCIGNA HEALTH PLAN
NJ808113Medicaid
J24199OtherBLUE CARE ELECT
AA6081OtherHARVARD PILGRIM
63348OtherFALLON COMM HEALTH PLAN