Healthcare Provider Details

I. General information

NPI: 1336248293
Provider Name (Legal Business Name): STEVEN L. NEHMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 MORRIS AVE
UNION NJ
07083-6002
US

IV. Provider business mailing address

2121 MORRIS AVE
UNION NJ
07083-6002
US

V. Phone/Fax

Practice location:
  • Phone: 908-687-3000
  • Fax: 908-964-0417
Mailing address:
  • Phone: 908-687-3000
  • Fax: 908-964-0417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number25MA 03935700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: