Healthcare Provider Details

I. General information

NPI: 1275576084
Provider Name (Legal Business Name): STEVEN J STEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W CENTURY RD SUITE 225
PARAMUS NJ
07652-1433
US

IV. Provider business mailing address

30 W CENTURY RD SUITE 225
PARAMUS NJ
07652-1433
US

V. Phone/Fax

Practice location:
  • Phone: 201-986-1003
  • Fax: 201-986-1680
Mailing address:
  • Phone: 201-986-1003
  • Fax: 201-986-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMA07302100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: