Active NPIIndividual provider

Dr. Steven J Fagan, DO

Healthcare Provider in Manahawkin, New Jersey

NPI Number1528060258
Practice location
128 Anita Dr, Manahawkin, NJ 08050-3603
Fax
—
Last updated
May 5, 2017

Steven Joseph Fagan is a Healthcare Provider based in Manahawkin, NJ. Steven Joseph Fagan practices in Manahawkin, NJ and has the professional credentials of DO. The NPI Number for Steven Joseph Fagan is 1528060258 and holds a License No. 0703 (SC). The current practice location address for Steven Joseph Fagan is 128 Anita Dr, Manahawkin, NJ 08050-3603 and can be reached out via phone at 843-200-2815.

Provider Profile Details

NPI Number
1528060258
Provider Name
Steven Joseph Fagan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
128 Anita Dr, Manahawkin, NJ 08050-3603
Phone Number
843-200-2815
Primary Taxonomy
Healthcare Provider · 2085N0700X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2005
Last Update Date
May 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
128 Anita Dr
Manahawkin, NJ 08050-3603
Zip
08050-3603
Phone Number
843-200-2815
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
128 Anita Dr
Manahawkin, NJ 08050-3603
City
Manahawkin
State
NJ
Zip
08050-3603
Phone Number
843-200-2815

License Information

License Number (1)
0703
License State (1)
SC
Taxonomy (1)
· 2085N0700X · Primary
License Number (2)
1031
License State (2)
ME
Taxonomy (2)
· 2085N0700X
License Number (3)
OS 8412
License State (3)
FL
Taxonomy (3)
· 2085N0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Steven J Fagan, DO?

The NPI number of Dr. Steven J Fagan, DO is 1528060258. It was assigned on August 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Steven J Fagan, DO?

Dr. Steven J Fagan, DO is registered under the primary taxonomy Healthcare Provider (code 2085N0700X), licensed in SC under license number 0703.

Where does Dr. Steven J Fagan, DO practice?

The practice location is 128 Anita Dr, Manahawkin, NJ 08050-3603. The office can be reached at 843-200-2815 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528060258 directly on the NPPES registry website.

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