Provider Demographics
NPI:1407923584
Name:STEIGMAN, ELLIOT GIDEON (MD)
Entity Type:Individual
Prefix:
First Name:ELLIOT
Middle Name:GIDEON
Last Name:STEIGMAN
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 1:142 PALISADE AVE
Mailing Address - Street 2:STE 211
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1108
Mailing Address - Country:US
Mailing Address - Phone:201-435-2244
Mailing Address - Fax:201-222-7733
Practice Address - Street 1:142 PALISADE AVE
Practice Address - Street 2:STE 211
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1108
Practice Address - Country:US
Practice Address - Phone:201-435-2244
Practice Address - Fax:201-222-7733
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 34074208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0732001Medicaid
445901Medicare ID - Type Unspecified
NJ0732001Medicaid