Active NPIIndividual provider

Robert S Eagle, MD

Internal Medicine, Gastroenterology in West Orange, New Jersey

NPI Number1922012335
Practice location
405 Northfield Ave, Ste. Ll3, West Orange, NJ 07052-3026
Fax
973-731-9855
Last updated
April 11, 2024

Robert Selig Eagle is an Internal Medicine, Gastroenterology based in West Orange, NJ. Robert Selig Eagle practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Robert Selig Eagle is 1922012335 and holds a License No. 25MA04064300 (NJ). The current practice location address for Robert Selig Eagle is 405 Northfield Ave, Ste. Ll3, West Orange, NJ 07052-3026 and can be reached out via phone at 973-731-7961 and via fax at 973-731-9855.

Provider Profile Details

NPI Number
1922012335
Provider Name
Robert Selig Eagle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
405 Northfield Ave, Ste. Ll3, West Orange, NJ 07052-3026
Phone Number
973-731-7961
Fax Number
973-731-9855
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
April 11, 2024
Certification Date
April 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
405 Northfield Ave
Ste. Ll3
West Orange, NJ 07052-3026
Zip
07052-3026
Phone Number
973-731-7961
Fax Number
973-731-9855
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
85 S Jefferson St
Ste. 1
Orange, NJ 07050-1562
City
Orange
State
NJ
Zip
07050-1562
Phone Number
973-677-3466
Fax Number
973-677-2362

License Information

License Number (1)
25MA04064300
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA04064300
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · 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 Robert S Eagle, MD?

The NPI number of Robert S Eagle, MD is 1922012335. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Robert S Eagle, MD?

Robert S Eagle, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA04064300.

Where does Robert S Eagle, MD practice?

The practice location is 405 Northfield Ave, Ste. Ll3, West Orange, NJ 07052-3026. The office can be reached at 973-731-7961 (phone) or 973-731-9855 (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 1922012335 directly on the NPPES registry website.

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