Provider Demographics
NPI:1235226978
Name:FAIGENBAUM, STEVEN JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOEL
Last Name:FAIGENBAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 UNION AVE
Mailing Address - Street 2:BUILDING 1, SUITE G
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3002
Mailing Address - Country:US
Mailing Address - Phone:908-526-4588
Mailing Address - Fax:908-231-6718
Practice Address - Street 1:201 UNION AVE
Practice Address - Street 2:BUILDING 1, SUITE G
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3002
Practice Address - Country:US
Practice Address - Phone:908-526-4588
Practice Address - Fax:908-231-6718
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03144400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0548380OtherCIGNA
NJ34067OtherAETNA
NJF14419OtherHEALTHNET
NJP3600067OtherOXFORD FREEDOM
NJ180045402OtherRAILROAD MEDICARE
NJ0666904Medicaid
NJ0072855000OtherAMERIHEALTH
NJ0666904Medicaid