Provider Demographics
NPI:1023019171
Name:HABERMAN, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:HABERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 MORRIS AVE STE C103
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5717
Mailing Address - Country:US
Mailing Address - Phone:908-688-4000
Mailing Address - Fax:908-688-1717
Practice Address - Street 1:2333 MORRIS AVE STE C103
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5717
Practice Address - Country:US
Practice Address - Phone:908-688-4000
Practice Address - Fax:908-688-1717
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158611-1207W00000X
NJ25MA04964000207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0465909Medicaid
NJA64083Medicare UPIN
005614ML3Medicare PIN