1699714899 NPI number — PAUL L STERMAN M.D.

Table of content: PAUL L STERMAN M.D. (NPI 1699714899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699714899 NPI number — PAUL L STERMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STERMAN
Provider First Name:
PAUL
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1699714899
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
62 WEXFORD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONMOUTH JUNCTION
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08852-2715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-521-0800
Provider Business Mailing Address Fax Number:
732-521-0833

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 RESEARCH WAY
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08831-6816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-521-0800
Provider Business Practice Location Address Fax Number:
732-521-0833
Provider Enumeration Date:
06/05/2006

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: 174400000X , with the licence number:  MA07721600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X , with the licence number: 25MA07721600 , 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: 0063428 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 082237YEM . This is a "MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 001625732 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0007377605 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2K9120 . This is a "HEALTH NET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P0016162 . This is a "RR MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1376429 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2302268000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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