MEDICARE: DR. STEPHEN EVAN KABEL 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	207Q00000X	Family Medicine Physician	25MB053566	NJ
2	207Q00000X	Family Medicine Physician	0102049854	VA
3	207R00000X	Internal Medicine Physician	25MB055637	NJ
4	207R00000X	Internal Medicine Physician	0102049854	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	110230350	OTHER	NJ	RAIL ROAD MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1834918	OTHER	NJ	UNITED HEALTHCARE
2	1K7341	OTHER	NJ	HEALTHNET
3	P2191369	OTHER	NJ	OXFORD
4	24283	OTHER	NJ	UNIVERSITY HEALTH PLAN
5	0812422001	OTHER	NJ	AMERIHEALTH HMO
6	2255682	OTHER	NJ	AETNA
7	4122929	OTHER	NJ	CIGNA
9	1937276	OTHER	NJ	FIRST HEALTH
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	2595958	OTHER	NJ	GHI
12	908306	OTHER	NJ	AMERIHEALTH PPO

General Provider Information

NPI Number	:	1134129125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN EVAN KABEL D. O.

Provider Business Mailing Address
First Line	:	26 HAINES MILL RD
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-1715
Country	:	US
Telephone Number	:	856-461-6200
Fax Number	:	856-461-4013

Provider Business Practice Location Address
First Line	:	26 HAINES MILL RD
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-1715
Country	:	US
Telephone Number	:	856-461-6200
Fax Number	:	856-461-4013

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

Provider Enumeration Date	:	07/30/2005
Last Update Date	:	07/28/2007

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