MEDICARE: DR. KARL A HEBBE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MB68516	NJ
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MB06851600	NJ
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2016-02413	NC
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	OS14248	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00091589	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2K4729	OTHER	NJ	HEALTHNET
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P3209508	OTHER	NJ	OXFORD
5	2355365000	OTHER	NJ	AMERIHEALTH
6	4668858	OTHER	NJ	CIGNA

General Provider Information

NPI Number	:	1063486132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL A HEBBE D.O.

Provider Business Mailing Address
First Line	:	1825 NW CORPORATE BLVD
Second Line	:	STE 105
City	:	BOCA RATON
State	:	FL
Zip	:	33431-8554
Country	:	US
Telephone Number	:	561-299-3667
Fax Number	:	561-299-3670

Provider Business Practice Location Address
First Line	:	1907 PARK AVE
Second Line	:	SUITE 202
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5530
Country	:	US
Telephone Number	:	908-561-1313
Fax Number	:	908-561-3917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	02/03/2017

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Directions to “ DR. KARL A HEBBE D.O.” Practice Location

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