Active NPIIndividual providerSole proprietor

Dr. S Jose Fishman, MD

Dermatology, Procedural Dermatology in Kearny, New Jersey

NPI Number1528165487
Practice location
703 Kearny Ave, Kearny, NJ 07032-3003
Fax
201-998-9808
Last updated
January 4, 2011

S Jose Fishman is a Dermatology, Procedural Dermatology based in Kearny, NJ. S Jose Fishman practices in Kearny, NJ and has the professional credentials of MD. The NPI Number for S Jose Fishman is 1528165487 and holds a License No. 25MA03012300 (NJ). The current practice location address for S Jose Fishman is 703 Kearny Ave, Kearny, NJ 07032-3003 and can be reached out via phone at 201-998-4699 and via fax at 201-998-9808.

Provider Profile Details

NPI Number
1528165487
Provider Name
S Jose Fishman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
703 Kearny Ave, Kearny, NJ 07032-3003
Phone Number
201-998-4699
Fax Number
201-998-9808
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2006
Last Update Date
January 4, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
703 Kearny Ave
Kearny, NJ 07032-3003
City
Kearny
Zip
07032-3003
Phone Number
201-998-4699
Fax Number
201-998-9808
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
703 Kearny Ave
Kearny, NJ 07032-3003
City
Kearny
State
NJ
Zip
07032-3003
Phone Number
201-998-4699
Fax Number
201-998-9808

License Information

License Number
25MA03012300
License State
NJ
Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X · Primary

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. S Jose Fishman, MD?

The NPI number of Dr. S Jose Fishman, MD is 1528165487. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. S Jose Fishman, MD?

Dr. S Jose Fishman, MD is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in NJ under license number 25MA03012300.

Where does Dr. S Jose Fishman, MD practice?

The practice location is 703 Kearny Ave, Kearny, NJ 07032-3003. The office can be reached at 201-998-4699 (phone) or 201-998-9808 (fax).

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 1528165487 directly on the NPPES registry website.

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