1548343585 NPI number — DR. MICHAEL ARBER DC

Table of content: DR. MICHAEL ARBER DC (NPI 1548343585)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548343585 NPI number — DR. MICHAEL ARBER DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARBER
Provider First Name:
MICHAEL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548343585
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 BERGEN BLVD
Provider Second Line Business Mailing Address:
STE 8
Provider Business Mailing Address City Name:
FAIRVIEW
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-945-1156
Provider Business Mailing Address Fax Number:
201-945-0012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 BERGEN BLVD
Provider Second Line Business Practice Location Address:
STE 8
Provider Business Practice Location Address City Name:
FAIRVIEW
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-945-1156
Provider Business Practice Location Address Fax Number:
201-945-0012
Provider Enumeration Date:
10/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00444600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001143307003 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4603128 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01814626 . This is a "MEDCARE NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2238095320 . This is a "HORIZON BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2483162 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: X4A18Z . This is a "WELL CHOICE" identifier . This identifiers is of the category "OTHER".




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